Healthcare Provider Details

I. General information

NPI: 1306061569
Provider Name (Legal Business Name): SUSAN S ARONSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 MORENO RD
NARBERTH PA
19072-1618
US

IV. Provider business mailing address

605 MORENO RD
NARBERTH PA
19072-1618
US

V. Phone/Fax

Practice location:
  • Phone: 610-664-3923
  • Fax: 610-664-3824
Mailing address:
  • Phone: 610-664-3923
  • Fax: 610-664-3824

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD012798E
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: