Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | 033570-E | PA |
NPI | 1013334424 |
---|---|
Provider Name | Tsodik Aronin |
First Address | Yardley, PA 19067 |
Second Address | Yardley, PA 19067 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2014 |
Last Update Date | 24/03/2014 |