Healthcare Provider Details

I. General information

NPI: 1114993946
Provider Name (Legal Business Name): ADAM ARONSKY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 03/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 NEW PROVIDENCE RD
MOUNTAINSIDE NJ
07092-2590
US

IV. Provider business mailing address

150 NEW PROVIDENCE RD
MOUNTAINSIDE NJ
07092-2590
US

V. Phone/Fax

Practice location:
  • Phone: 908-233-3720
  • Fax: 908-301-5456
Mailing address:
  • Phone: 908-233-3720
  • Fax: 908-301-5456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number25MA07101200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: