MEDICARE: AARON BEN PEARL D.P.M

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
1	213ES0103X	Foot & Ankle Surgery Podiatrist	0103000883	VA

General Provider Information

NPI Number	:	1730154048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARON BEN PEARL D.P.M

Provider Business Mailing Address
First Line	:	1715 N GEORGE MASON DR
Second Line	:	SUITE 407
City	:	ARLINGTON
State	:	VA
Zip	:	22205-3609
Country	:	US
Telephone Number	:	703-516-9408
Fax Number	:	703-516-4340

Provider Business Practice Location Address
First Line	:	1715 N GEORGE MASON DR
Second Line	:	SUITE 407
City	:	ARLINGTON
State	:	VA
Zip	:	22205-3609
Country	:	US
Telephone Number	:	703-516-9408
Fax Number	:	703-547-9979

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	02/18/2011

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