Healthcare Provider Details

I. General information

NPI: 1679583058
Provider Name (Legal Business Name): BARRY H ARONS D.P.M
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 08/18/2021
Certification Date: 08/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6217 OLD KEENE MILL CT
SPRINGFIELD VA
22152-2324
US

IV. Provider business mailing address

6217 OLD KEENE MILL CT
SPRINGFIELD VA
22152-2324
US

V. Phone/Fax

Practice location:
  • Phone: 703-451-0232
  • Fax: 703-451-5149
Mailing address:
  • Phone: 703-451-0232
  • Fax: 703-454-1519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number0103000407
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: