Individual
AARON BLADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5735 RIDGE AVE, PHILADELPHIA, PA 19128-1745
(973) 886-2836
Mailing address
5735 RIDGE AVE, PHILADELPHIA, PA 19128-1745
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
027543
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/29/2020
Last updated
12/08/2021
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