Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 0102206150 | VA |
Y | 207P00000X | Emergency Physician | OS020100 | PA |
NPI | 1003293739 |
---|---|
Provider Name | Aaron Frey |
First Address | Philadelphia, PA 19178-3311 |
Second Address | Bethlehem, PA 18017-7300 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2015 |
Last Update Date | 14/10/2020 |