Provider Demographics
NPI:1023144755
Name:ALQUEZA, ARNOLD BANDOLON (MD)
Entity type:Individual
Prefix:
First Name:ARNOLD
Middle Name:BANDOLON
Last Name:ALQUEZA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:150 SOUTH HUNTINGTON AVENUE
Mailing Address - Street 2:VA BOSTON HEALTHCARE SYSTEM, SURGICAL SERVICE 112
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02130
Mailing Address - Country:US
Mailing Address - Phone:857-364-5961
Mailing Address - Fax:857-364-2033
Practice Address - Street 1:150 S HUNTINGTON AVE
Practice Address - Street 2:VA BOSTON HEALTHCARE SYSTEM, SURGICAL SERVICE 112
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02130-4817
Practice Address - Country:US
Practice Address - Phone:857-364-5961
Practice Address - Fax:857-364-2033
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2018-04-13
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Provider Licenses
StateLicense IDTaxonomies
MA239778207X00000X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery