Provider Demographics
NPI:1225169238
Name:AARONSON, HADASSAH ELIORA (DO, MPH)
Entity Type:Individual
Prefix:DR
First Name:HADASSAH
Middle Name:ELIORA
Last Name:AARONSON
Suffix:
Gender:F
Credentials:DO, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2814 S ATLANTIC AVE STE C
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH SHORES
Mailing Address - State:FL
Mailing Address - Zip Code:32118-5802
Mailing Address - Country:US
Mailing Address - Phone:240-731-6929
Mailing Address - Fax:703-783-0099
Practice Address - Street 1:2814 S ATLANTIC AVE STE C
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH SHORES
Practice Address - State:FL
Practice Address - Zip Code:32118-5802
Practice Address - Country:US
Practice Address - Phone:240-731-6929
Practice Address - Fax:703-783-0099
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01022016082084H0002X, 2084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084H0002XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyHospice and Palliative Medicine
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAVVJ295F174Medicare PIN
VA1225169238Medicaid