Basic Information
Provider Information
NPI: 1427150440
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BUJAK-AARON
FirstName: CAROL
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 640738
Address2:  
City: CINCINNATI
State: OH
PostalCode: 45264
CountryCode: US
TelephoneNumber: 9372930247
FaxNumber: 9372930960
Practice Location
Address1: 375 DIXMYTH AVE
Address2:  
City: CINCINNATI
State: OH
PostalCode: 45220
CountryCode: US
TelephoneNumber: 5138722432
FaxNumber: 5138728857
Other Information
ProviderEnumerationDate: 09/01/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X35088204OHY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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