Healthcare Provider Details

I. General information

NPI: 1275528663
Provider Name (Legal Business Name): BARRY IRA ARON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2005
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 FORT HUGAR WAY
MANTEO NC
27954-9479
US

IV. Provider business mailing address

145 FORT HUGAR WAY
MANTEO NC
27954-9479
US

V. Phone/Fax

Practice location:
  • Phone: 301-643-9964
  • Fax:
Mailing address:
  • Phone: 301-643-9964
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberD0046143
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: