Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 35079988 | OH |
Y | 207RP1001X | Pulmonary Disease | 35079988A | OH |
NPI | 1124082821 |
---|---|
Provider Name | Mark A Aronica |
First Address | Independence, OH 44131-2139 |
Second Address | Cleveland, OH 44195-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2006 |
Last Update Date | 23/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
030005019 | MEDICARE RAILROAD (01) | OH |
2270180 | (05) | OH |
G06207 | (02) | OH |