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NPI Code Detail

MEDICARE: DR. RONALD AIELLO DO

MEDICARE:  DR. RONALD  AIELLO  DO
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
1207Q00000XFamily Medicine Physician34001999AOH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1H112912OTHEROHMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
234001999AOTHEROHSTATE LICENSE #
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710958905
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RONALD AIELLO DO
Provider Business Mailing Address
First Line : 1815 BELMONT AVE
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44504-1106
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1815 BELMONT AVE
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44504-1106
Country : US
Telephone Number : 330-740-9200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2006
Last Update Date : 10/20/2023

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Directions to “ DR. RONALD AIELLO DO” Practice Location

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