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General NPI Number Information
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NPI Number | 1831100825
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Entity Type | Individual
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Provider Name | STEPHEN A. AIELLO M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 08/16/2013
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Provider Practice Location Address
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Address Line | 1445 WHITEHORSE MERCERVILLE RD SUITE 103
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City | HAMILTON
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State | NJ
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Zip | 08619-3834
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Country | US
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Telephone | 609-587-6661
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Fax | 609-587-8503
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Provider Business Mailing Address
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Address Line | PO BOX 8500-2946
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City | PHILADELPHIA
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State | PA
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Zip | 19178-2946
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Country | US
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Telephone | 609-815-7810
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Fax | 609-815-7814
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | MD023160-E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 25MA03887800
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License Number State | NJ
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