Provider Demographics
NPI:1003904194
Name:BARRY I. ARON M.D.,P.C
Entity Type:Organization
Organization Name:BARRY I. ARON M.D.,P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:D
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-934-6491
Mailing Address - Street 1:605 CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:LA PLATA
Mailing Address - State:MD
Mailing Address - Zip Code:20646-5973
Mailing Address - Country:US
Mailing Address - Phone:301-934-6491
Mailing Address - Fax:301-934-6493
Practice Address - Street 1:605 CHARLES STREET
Practice Address - Street 2:
Practice Address - City:LA PLATA
Practice Address - State:MD
Practice Address - Zip Code:20646-5973
Practice Address - Country:US
Practice Address - Phone:301-934-6491
Practice Address - Fax:301-934-6493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0046143174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD164PMedicare ID - Type UnspecifiedMEDICARE GROUP#
MD164PN57Medicare ID - Type UnspecifiedMEDICARE INDIVIDUAL #
MDH48752Medicare UPIN