MEDICARE: AARON SHILOH, MD LLC

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
1	2085R0204X	Vascular & Interventional Radiology Physician	MD419731	PA

General Provider Information

NPI Number	:	1891119764
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AARON SHILOH, MD LLC

Provider Business Mailing Address
First Line	:	715 CHERRY LN
Second Line	:	SUITE 100
City	:	SOUTHAMPTON
State	:	PA
Zip	:	18966-3936
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	715 CHERRY LN
Second Line	:	SUITE 100
City	:	SOUTHAMPTON
State	:	PA
Zip	:	18966-3936
Country	:	US
Telephone Number	:	215-519-4294
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. AARON SHILOH
Credential	:	M.D.
Telephone Number	:	215-519-4294

Provider Enumeration Date	:	02/12/2014
Last Update Date	:	02/12/2014

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