Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 35.091439 | OH |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 62157 | CT |
NPI | 1255534855 |
---|---|
Provider Name | Dr. Aron Flagg |
First Address | Madison, CT 06443-2471 |
Second Address | New Haven, CT 06511 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2007 |
Last Update Date | 07/01/2019 |