Provider Demographics
NPI:1356497176
Name:WAY, AARON W (DO)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:W
Last Name:WAY
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:55 CHERRY LN
Mailing Address - Street 2:STE 1B
Mailing Address - City:WAKEFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02879-3617
Mailing Address - Country:US
Mailing Address - Phone:401-284-4555
Mailing Address - Fax:888-781-7202
Practice Address - Street 1:350 KINGSTOWN RD
Practice Address - Street 2:SUITE 105
Practice Address - City:NARRAGANSETT
Practice Address - State:RI
Practice Address - Zip Code:02882-3244
Practice Address - Country:US
Practice Address - Phone:401-284-4555
Practice Address - Fax:888-781-7202
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2022-08-12
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Provider Licenses
StateLicense IDTaxonomies
MA235752207Q00000X
RIDO00631207R00000X, 208M00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIAW71970Medicaid
RI089006231Medicare PIN