=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023088713
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MARK J ARONSON DO
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/25/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 85 SPRING ST
-----------------------------------------------------
City | LACONIA
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03246-3113
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 603-527-2969
-----------------------------------------------------
Fax | 603-527-2858
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 1327
-----------------------------------------------------
City | LACONIA
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03247-1327
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 603-524-3211
-----------------------------------------------------
Fax | 603-527-7038
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | 6687
-----------------------------------------------------
License Number State | NH
-----------------------------------------------------