Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 25MA07795300 | NJ |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD057952L | PA |
NPI | 1194862011 |
---|---|
Provider Name | James Airoldi |
First Address | Fountain Hill, PA 18015-1155 |
Second Address | Fountain Hill, PA 18015-1155 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2007 |
Last Update Date | 24/06/2013 |