Dr. Jeremy T Aidlen, MD
Surgery, Pediatric Surgery in Worcester, Massachusetts
1750558508- Practice location
- 55 Lake Ave N, Division Of Pediatric Surgery, Worcester, MA 01655-0002
- Phone
- 508-856-2128
- Fax
- 774-443-2043
- Last updated
- November 18, 2020
Dr. Jeremy T Aidlen, MD is a Surgery, Pediatric Surgery based in Worcester, MA. Dr. Jeremy T Aidlen, MD holds the professional credentials of MD. The NPI number for Dr. Jeremy T Aidlen, MD is 1750558508 and holds license No. MD12711 (RI). The current practice location address is 55 Lake Ave N, Division Of Pediatric Surgery, Worcester, MA 01655-0002 and the office can be reached by phone at 508-856-2128 and by fax at 774-443-2043. The NPI was assigned on May 12, 2008 and the record was last updated in NPPES on November 18, 2020.
●Provider Profile Details
- NPI Number
- 1750558508
- Provider Name
- Jeremy T Aidlen
- Credential
- MD
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Surgery, Pediatric Surgery · 2086S0120X
- Sole Proprietor
- No
- Enumeration Date
- May 12, 2008
- Last Update Date
- November 18, 2020
- Certification Date
- November 18, 2020
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 55 Lake Ave N
Division Of Pediatric Surgery
Worcester, MA 01655-0002 - City
- Worcester
- State
- Massachusetts
- ZIP
- 01655-0002
- Country
- US
- Phone Number
- 508-856-2128
- Fax Number
- 774-443-2043
✉Business Mailing Address
- Address
- Po Box 415348
Boston, MA 02241-5348 - City
- Boston
- State
- MA
- ZIP
- 02241-5348
- Phone Number
- 800-225-8885
- Fax Number
- 508-334-1977
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery, Pediatric Surgery | 2086S0120X | No | MD12711 | RI |
| Surgery, Pediatric Surgery | 2086S0120X | Yes | 212781 | MA |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Worcester →?Frequently Asked Questions
What is the NPI number of Dr. Jeremy T Aidlen, MD?
The NPI number of Dr. Jeremy T Aidlen, MD is 1750558508. It was assigned on May 12, 2008 and is currently active in the NPPES registry.
What is the specialty of Dr. Jeremy T Aidlen, MD?
Dr. Jeremy T Aidlen, MD is registered under the primary taxonomy Surgery, Pediatric Surgery (code 2086S0120X) and holds license No. MD12711 (RI).
Where does Dr. Jeremy T Aidlen, MD practice?
The practice location is 55 Lake Ave N, Division Of Pediatric Surgery, Worcester, MA 01655-0002. The office can be reached at 508-856-2128 (phone) or 774-443-2043 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1750558508 directly on the NPPES registry website at npiregistry.cms.hhs.gov.