Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 25MA09458900 | NJ |
Y | 111NI0900X | Internist | 25MA09458900 | NJ |
NPI | 1003160623 |
---|---|
Provider Name | Aradhana Aggarwal |
First Address | Boston, MA 02241-6457 |
Second Address | Newton, NJ 07860-1004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2012 |
Last Update Date | 12/05/2014 |