Provider Demographics
NPI:1366519738
Name:AROLE, CHIDINMA N (MD)
Entity type:Individual
Prefix:
First Name:CHIDINMA
Middle Name:N
Last Name:AROLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHIDINMA
Other - Middle Name:N
Other - Last Name:ALOZIE-AROLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:402 LIPPINCOTT DR
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4112
Mailing Address - Country:US
Mailing Address - Phone:856-782-3300
Mailing Address - Fax:856-504-8029
Practice Address - Street 1:1810 HADDONFILED - BERLIN RD.
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003
Practice Address - Country:US
Practice Address - Phone:856-795-3313
Practice Address - Fax:856-354-8780
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301068014207V00000X
NJ25MA08671600207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA068014OtherCOMMERCIAL-COMMERCIAL NUMBER
700H262210OtherBLUE CROSS-BLUE CROSS
25MA08671600OtherNJ STATE LICENSE
MI469625410Medicaid
CA068014OtherCHAMPUS-CHAMPUS
MI469625410Medicaid
0H26221133Medicare ID - Type Unspecified
CA068014OtherCOMMERCIAL-COMMERCIAL NUMBER
H88364Medicare UPIN