Provider Demographics
NPI:1194002717
Name:ARES, NILDA E (MD)
Entity Type:Individual
Prefix:DR
First Name:NILDA
Middle Name:E
Last Name:ARES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 S 8TH ST
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17042-6750
Mailing Address - Country:US
Mailing Address - Phone:717-272-2252
Mailing Address - Fax:717-272-5842
Practice Address - Street 1:711 S 8TH ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17042-6750
Practice Address - Country:US
Practice Address - Phone:717-272-2252
Practice Address - Fax:717-272-5842
Is Sole Proprietor?:No
Enumeration Date:2011-11-10
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD038679E207R00000X
PA002279207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine