Provider Demographics
NPI:1174812994
Name:AUJERO, MIREILLE PRIALE (MD)
Entity type:Individual
Prefix:
First Name:MIREILLE
Middle Name:PRIALE
Last Name:AUJERO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MIREILLE
Other - Middle Name:ROSARIO
Other - Last Name:PRIALE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4755 OGLETOWN STANTON RD
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19718-2200
Mailing Address - Country:US
Mailing Address - Phone:302-733-5582
Mailing Address - Fax:302-733-5589
Practice Address - Street 1:4755 OGLETOWN STANTON RD
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19718-2200
Practice Address - Country:US
Practice Address - Phone:302-733-5582
Practice Address - Fax:302-733-5589
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-01
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MDD825062085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program