Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 14506 | NH |
N | 2081P2900X | Pain Medicine | 14506 | NH |
NPI | 1417136755 |
---|---|
Provider Name | Dr. Aron Jeffrey |
First Address | Bedford, NH 03110-6983 |
Second Address | Bedford, NH 03110-6983 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2007 |
Last Update Date | 04/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
30227581 | (02) | NH |
30227581 | (05) | NH |