Healthcare Provider Details
I. General information
NPI: 1063494847
Provider Name (Legal Business Name): RICHARD HERBERT ARONOFF D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/16/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
227 BAILEY RD
FAIRFIELD CT
06825-2607
US
IV. Provider business mailing address
227 BAILEY RD
FAIRFIELD CT
06825-2607
US
V. Phone/Fax
- Phone: 203-913-3660
- Fax: 203-373-9334
- Phone: 203-913-3660
- Fax: 203-373-9334
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 213E00000X |
| Taxonomy | Podiatrist |
| License Number | 000305 |
| License Number State | CT |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213EP1101X |
| Taxonomy | Primary Podiatric Medicine Podiatrist |
| License Number | 000305 |
| License Number State | CT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: