Cerundolo, Aida

Cerundolo, Aida is an individual health care provider with primary practice located at 1 Medical Center Dr , Lebanon NH 03756. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Cerundolo, Aida can be contacted via phone (603) 650-7254.

Contact Information

Primary practice address
1 Medical Center Dr Lebanon NH 03756
Phone: (603) 650-7254
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 11986 New Hampshire

Profile Details

NPI number 1265497697
LBN Legal business name Cerundolo, Aida
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Sep 20th, 2019 - 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 1265497697 NPPES
New Hampshire Other 1265497697 ANTHEM BCBS
New Hampshire Other AA188476 ANTHEM BCBS
New Hampshire MEDICAID 110004423A ANTHEM BCBS
New Hampshire MEDICAID 30203570 ANTHEM BCBS

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