Aidala, Heather J

Aidala, Heather J is an individual health care provider with primary practice located at 780 Albany St , Boston MA 02118-2755. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Aidala, Heather J can be contacted via phone (857) 654-1000.

Contact Information

Primary practice address
780 Albany St Boston MA 02118-2755
Phone: (857) 654-1000
Fax: (857) 654-1100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00248 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00248 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA5460 Massachusetts

Profile Details

NPI number 1356536874
LBN Legal business name Aidala, Heather J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2007
Last updated Jan 12th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356536874 NPPES
Rhode Island Other PA00248 LICENSE

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