MEDICARE: DR. MARVIN SHIELD ARONS M.D., D.M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	009147	CT

General Provider Information

NPI Number	:	1205834876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARVIN SHIELD ARONS M.D., D.M.D.

Provider Business Mailing Address
First Line	:	245 AMITY RD.
Second Line	:	SUITE 107
City	:	WOODBRIDGE
State	:	CT
Zip	:	06525-1439
Country	:	US
Telephone Number	:	203-228-5123
Fax Number	:	203-228-5124

Provider Business Practice Location Address
First Line	:	245 AMITY RD.
Second Line	:	SUITE 107
City	:	WOODBRIDGE
State	:	CT
Zip	:	06525-1439
Country	:	US
Telephone Number	:	203-228-5123
Fax Number	:	203-228-5124

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	12/20/2010

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