=====================================================
General NPI Number Information
=====================================================
NPI Number | 1326475286
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JOSHUA N AARON MD PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/08/2013
-----------------------------------------------------
Last Update Date | 10/08/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 251 LEWIS LN SUITE 301B
-----------------------------------------------------
City | HAVRE DE GRACE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21078-3751
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-939-2515
-----------------------------------------------------
Fax | 410-939-2715
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 216 E PULASKI HWY SUITE 235
-----------------------------------------------------
City | ELKTON
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21921-6497
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-620-1984
-----------------------------------------------------
Fax | 410-392-3450
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | JOSHUA N AARON
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 410-620-1984
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RC0200X
-----------------------------------------------------
Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207RS0012X
-----------------------------------------------------
Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 207RP1001X
-----------------------------------------------------
Taxonomy Name | Pulmonary Disease Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------