Healthcare Provider Details

I. General information

NPI: 1225235682
Provider Name (Legal Business Name): PAUL ARONSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2007
Last Update Date: 06/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 YORK ST SUITE 1F
NEW HAVEN CT
06511-5620
US

IV. Provider business mailing address

100 YORK ST SUITE 1F
NEW HAVEN CT
06511-5620
US

V. Phone/Fax

Practice location:
  • Phone: 203-737-7433
  • Fax: 203-737-7447
Mailing address:
  • Phone: 203-737-7433
  • Fax: 203-737-7447

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License Number050613
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: