Healthcare Provider Details

I. General information

NPI: 1467441196
Provider Name (Legal Business Name): ALLEN E. AARONSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/15/2005
Last Update Date: 12/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2216 PRINCESS ANNE ST SUITE 103
FREDERICKSBURG VA
22401-3300
US

IV. Provider business mailing address

2216 PRINCESS ANNE ST SUITE 103
FREDERICKSBURG VA
22401-3300
US

V. Phone/Fax

Practice location:
  • Phone: 540-899-3431
  • Fax: 540-899-3431
Mailing address:
  • Phone: 540-899-3431
  • Fax: 540-899-3431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101027990
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: