Aidlen, Jeremy T

Aidlen, Jeremy T is an individual health care provider with primary practice located at 55 Lake Ave N Division Of Pediatric Surgery, Worcester MA 01655-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Aidlen, Jeremy T can be contacted via phone (508) 856-2128.

Contact Information

Primary practice address
55 Lake Ave N Division Of Pediatric Surgery Worcester MA 01655-0002
Phone: (508) 856-2128
Fax: (774) 443-2043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X MD12711 Rhode Island
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 212781 Massachusetts

Profile Details

NPI number 1750558508
LBN Legal business name Aidlen, Jeremy T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2008
Last updated Nov 18th, 2020 - about 5 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 1750558508 NPPES
Massachusetts MEDICAID 110080669A

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