Provider Demographics
NPI:1861676355
Name:JOSEPHINE ARONICA MD INC
Entity Type:Organization
Organization Name:JOSEPHINE ARONICA MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:C
Authorized Official - Last Name:ARONICA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-494-8641
Mailing Address - Street 1:5850 FULTON DR NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-1751
Mailing Address - Country:US
Mailing Address - Phone:330-494-8641
Mailing Address - Fax:330-494-0139
Practice Address - Street 1:5850 FULTON DR NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-1751
Practice Address - Country:US
Practice Address - Phone:330-494-8641
Practice Address - Fax:330-494-0139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-20
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.028779174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0135482Medicaid
OH0135482Medicaid