Healthcare Provider Details
I. General information
NPI: 1508089210
Provider Name (Legal Business Name): SCOTT M. ARONSON, DPM PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/11/2007
Last Update Date: 08/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1017 TURNPIKE ST STE 12B
CANTON MA
02021-2847
US
IV. Provider business mailing address
1017 TURNPIKE ST STE 12B
CANTON MA
02021-2847
US
V. Phone/Fax
- Phone: 781-344-1440
- Fax: 781-344-1481
- Phone: 781-344-1440
- Fax: 781-344-1481
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213E00000X |
| Taxonomy | Podiatrist |
| License Number | 2078 |
| License Number State | MA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP1100X |
| Taxonomy | Podiatric Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
SCOTT
M.
ARONSON
Title or Position: OWNER
Credential: D.P.M.
Phone: 781-344-1440