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NPI Code Detail

MEDICARE: DR. MARK DAVID ARON PH.D.

MEDICARE: DR. MARK DAVID ARON PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist001105CT

General Provider Information

NPI Number : 1063510162
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK DAVID ARON PH.D.
Provider Business Mailing Address
First Line : 27 SCENIC RD
Second Line :
City : MADISON
State : CT
Zip : 06443-1738
Country : US
Telephone Number : 203-421-3153
Fax Number : 860-437-6920
Provider Business Practice Location Address
First Line : 263 MAIN ST
Second Line : SUITE 304
City : OLD SAYBROOK
State : CT
Zip : 06475-2326
Country : US
Telephone Number : 860-388-1313
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 07/08/2007

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