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NPI Code Detail

MEDICARE: SUSAN AEY MD

MEDICARE: SUSAN AEY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician35074968OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295737492
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN AEY MD
Provider Business Mailing Address
First Line : 564 E 2ND ST
Second Line :
City : SALEM
State : OH
Zip : 44460-2914
Country : US
Telephone Number : 330-332-5232
Fax Number : 330-332-4771
Provider Business Practice Location Address
First Line : 564 E 2ND ST
Second Line :
City : SALEM
State : OH
Zip : 44460-2914
Country : US
Telephone Number : 330-332-5232
Fax Number : 330-332-4771
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 07/08/2007

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Directions to “ SUSAN AEY MD” Practice Location

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