Healthcare Provider Details

I. General information

NPI: 1831128479
Provider Name (Legal Business Name): AARON STEVEN GELLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 09/17/2020
Certification Date: 09/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

154 BROAD ST
NASHUA NH
03063-3205
US

IV. Provider business mailing address

PO BOX 184
HARRISVILLE MI
48740-0184
US

V. Phone/Fax

Practice location:
  • Phone: 603-882-9872
  • Fax: 603-465-7829
Mailing address:
  • Phone: 603-455-3320
  • Fax: 603-465-7829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number10423
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: