Healthcare Provider Details

I. General information

NPI: 1962713727
Provider Name (Legal Business Name): AARON M DIDICH D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2010
Last Update Date: 10/11/2022
Certification Date: 10/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

857 GRAHAM RD
CUYAHOGA FALLS OH
44221-1170
US

IV. Provider business mailing address

857 GRAHAM RD
CUYAHOGA FALLS OH
44221-1170
US

V. Phone/Fax

Practice location:
  • Phone: 330-923-9585
  • Fax: 330-923-9585
Mailing address:
  • Phone: 330-923-9585
  • Fax: 330-923-2290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number34-010739
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: