Healthcare Provider Details

I. General information

NPI: 1144296682
Provider Name (Legal Business Name): LINDA ARONSON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 THOMPSON ROAD
WEBSTER MA
01570
US

IV. Provider business mailing address

630 PLANTATION STREET WOT 12TH FLOOR ATTN PHYSICIAN SERVICES
WORCESTER MA
01605
US

V. Phone/Fax

Practice location:
  • Phone: 508-368-3110
  • Fax: 508-368-3113
Mailing address:
  • Phone: 508-368-5529
  • Fax: 508-368-5530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number178405
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: