Provider Demographics
NPI:1043257801
Name:ARONOVITZ, JAMES (DO)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:ARONOVITZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27301 SCHOENHERR RD
Mailing Address - Street 2:#105
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48088-6649
Mailing Address - Country:US
Mailing Address - Phone:586-756-4009
Mailing Address - Fax:
Practice Address - Street 1:27301 SCHOENHERR RD
Practice Address - Street 2:#105
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48088-6649
Practice Address - Country:US
Practice Address - Phone:586-756-4009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIJA11394207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G30595Medicare UPIN