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Organization
AESOP, INC.
Active
Organization
AESOP, INC.
Active
Other names
AESOP-CPMP
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLEY JEANNE EDWARDS M.D. (PRESIDENT & CEO)
(800) 491-5744
Entity
Organization
Contact information
Practice address
4084 PENDLETON WAY, # 264, INDIANAPOLIS, IN 46226-5224
(317) 897-1877
Mailing address
4084 PENDLETON WAY, # 264, INDIANAPOLIS, IN 46226-5224
(317) 897-1877
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
01026336A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
238740
LICENSE #
NY
01
—
C52231
LICENSE #
CA
Enumeration date
08/14/2006
Last updated
08/22/2020
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