Provider Demographics
NPI:1083657852
Name:TODD D AARON MD F A C P PC
Entity Type:Organization
Organization Name:TODD D AARON MD F A C P PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:D
Authorized Official - Last Name:AARON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-247-7990
Mailing Address - Street 1:8815 GERMANTOWN AVE
Mailing Address - Street 2:SUITE 31
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19118-2722
Mailing Address - Country:US
Mailing Address - Phone:215-247-7990
Mailing Address - Fax:215-247-1683
Practice Address - Street 1:8815 GERMANTOWN AVE
Practice Address - Street 2:SUITE 31
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19118-2722
Practice Address - Country:US
Practice Address - Phone:215-247-7990
Practice Address - Fax:215-247-1683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA080392Medicare PIN
PAE42730Medicare UPIN