Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | D0016507 | MD |
NPI | 1023316825 |
---|---|
Provider Name | Dr. Aron Primack |
First Address | Silver Spring, MD 20910-1612 |
Second Address | Silver Spring, MD 20910-1612 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2011 |
Last Update Date | 03/03/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
232621300 | (05) | MD |
B93422 | (02) | MD |