Provider Demographics
NPI:1184611535
Name:HROMADKA, AIMEE JUNE (MD)
Entity type:Individual
Prefix:DR
First Name:AIMEE
Middle Name:JUNE
Last Name:HROMADKA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:AIMEE
Other - Middle Name:JUNE
Other - Last Name:BLACK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:414 HAVERHILL ST
Mailing Address - Street 2:
Mailing Address - City:ROWLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01969-1919
Mailing Address - Country:US
Mailing Address - Phone:877-379-5522
Mailing Address - Fax:978-948-5200
Practice Address - Street 1:414 HAVERHILL ST
Practice Address - Street 2:
Practice Address - City:ROWLEY
Practice Address - State:MA
Practice Address - Zip Code:01969-1919
Practice Address - Country:US
Practice Address - Phone:877-379-5522
Practice Address - Fax:978-948-5200
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA218781207Q00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2078244Medicaid
MAAA13678OtherHARVARD PILGRIM
80788OtherFALLON
7702170OtherCIGNA
469148OtherTUFTS & SEC HORIZONS
2483817OtherUNITED HEALTHCARE
MAJ27610OtherBCBS
68677OtherCMSP
3609763OtherAETNA USHC
96986801OtherNETWORK HEALTH
80788OtherFALLON
MAAA13678OtherHARVARD PILGRIM
68677OtherCMSP