Provider Demographics
NPI:1467441196
Name:AARONSON, ALLEN E (MD)
Entity Type:Individual
Prefix:
First Name:ALLEN
Middle Name:E
Last Name:AARONSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2216 PRINCESS ANNE ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-3300
Mailing Address - Country:US
Mailing Address - Phone:540-899-3431
Mailing Address - Fax:540-899-3431
Practice Address - Street 1:2216 PRINCESS ANNE ST
Practice Address - Street 2:SUITE 103
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-3300
Practice Address - Country:US
Practice Address - Phone:540-899-3431
Practice Address - Fax:540-899-3431
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-15
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101027990208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6772196Medicaid
VAD80430Medicare UPIN
VA6772196Medicaid