Healthcare Provider Details

I. General information

NPI: 1376873075
Provider Name (Legal Business Name): GABRIEL ARANOVICH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2010
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 MILFORD ST APT 3
BOSTON MA
02118-3647
US

IV. Provider business mailing address

19 MILFORD ST APT 3
BOSTON MA
02118-3647
US

V. Phone/Fax

Practice location:
  • Phone: 650-862-6556
  • Fax: 650-672-3631
Mailing address:
  • Phone: 650-862-6556
  • Fax: 650-672-3631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA 110449
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: