Basic Information
| Provider Information | |||||||||
| NPI: | 1942318431 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ARONZON | ||||||||
| FirstName: | LUDMILA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5 SOUTH WASHINGTON AVE | ||||||||
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| City: | JERMYN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 18433 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5703839937 | ||||||||
| FaxNumber: | 5703836258 | ||||||||
| Practice Location | |||||||||
| Address1: | 175 S WILKES BARRE BLVD | ||||||||
| Address2: | |||||||||
| City: | WILKES BARRE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 187025040 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5708292621 | ||||||||
| FaxNumber: | 5708234332 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/26/2006 | ||||||||
| LastUpdateDate: | 06/22/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/22/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | MA051986 | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.