Provider Demographics
NPI:1063494847
Name:ARONOFF, RICHARD HERBERT (DPM)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:HERBERT
Last Name:ARONOFF
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 BAILEY RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06825-2607
Mailing Address - Country:US
Mailing Address - Phone:203-913-3660
Mailing Address - Fax:203-373-9334
Practice Address - Street 1:227 BAILEY RD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06825-2607
Practice Address - Country:US
Practice Address - Phone:203-913-3660
Practice Address - Fax:203-373-9334
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000305213E00000X, 213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Not Answered213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
T22881Medicare UPIN