Healthcare Provider Details

I. General information

NPI: 1255965307
Provider Name (Legal Business Name): MR. AARON THOMAS GASPARETTI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2020
Last Update Date: 02/27/2020
Certification Date: 02/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

319 S 16TH ST
EASTON PA
18042-4700
US

IV. Provider business mailing address

319 S 16TH ST
EASTON PA
18042-4700
US

V. Phone/Fax

Practice location:
  • Phone: 610-972-4934
  • Fax:
Mailing address:
  • Phone: 610-972-4934
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number45043601
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number45043601
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: