Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YP0228X | Pediatric Otolaryngology | 25MA10224100 | NJ |
Y | 207YP0228X | Pediatric Otolaryngology | C10012291 | DE |
N | 207YP0228X | Pediatric Otolaryngology | MD460861 | PA |
NPI | 1285925305 |
---|---|
Provider Name | Dr. Nicole Leigh Aaronson |
First Address | Rockland, DE 19732-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2011 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
103363101 | (05) | PA |