Individual
DR. JAMES TIMOTHY ALDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1400 E 9TH ST, ROCHESTER, IN 46975-8931
(574) 223-2020
(574) 223-5847
Mailing address
1400 E 9TH ST, ROCHESTER, IN 46975-8931
(574) 223-2020
(574) 223-5847
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
02001427
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100269960B
—
IN
05
—
100366380
—
IN
01
—
110207420
MEDICARE RAILROAD
IN
01
—
1255439022
MEDICARE RAILROAD
IN
Enumeration date
09/20/2006
Last updated
10/02/2014
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