Healthcare Provider Details

I. General information

NPI: 1487091534
Provider Name (Legal Business Name): AARON RICH DUCOFFE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2013
Last Update Date: 08/16/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 ROCKVILLE PIKE BUILDING 9A - CVHIR
BETHESDA MD
20889-0001
US

IV. Provider business mailing address

8260 WILLOW OAKS CORPORATE DR STE 750
FAIRFAX VA
22031-4523
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-4334
  • Fax:
Mailing address:
  • Phone: 703-698-4483
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number0101260553
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberTRN18511
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMTL002874
License Number StateDC
# 4
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number0101260553
License Number StateVA
# 5
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberMTL002874
License Number StateDC
# 6
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number11110
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: