Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213EP1101X | Primary Podiatric Medicine | N006227-1 | NY |
N | 213EP1101X | Primary Podiatric Medicine | SC004681L | PA |
Y | 213ES0103X | Foot & Ankle Surgery | 0103301024 | VA |
NPI | 1518196054 |
---|---|
Provider Name | Dr. John Martin Aalto |
First Address | Suffolk, VA 23434-4507 |
Second Address | Suffolk, VA 23434-4507 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2009 |
Last Update Date | 23/02/2012 |