Basic Information
Provider Information
NPI: 1508205915
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AUFIERO
FirstName: MOLLY
MiddleName: E.
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 91 VALLEY PARK S
Address2:  
City: BETHLEHEM
State: PA
PostalCode: 180181335
CountryCode: US
TelephoneNumber: 8453238538
FaxNumber:  
Practice Location
Address1: 801 OSTRUM ST
Address2:  
City: BETHLEHEM
State: PA
PostalCode: 180151000
CountryCode: US
TelephoneNumber: 4845264903
FaxNumber: 4845262153
Other Information
ProviderEnumerationDate: 06/19/2013
LastUpdateDate: 09/23/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XOS017513PAY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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