Provider Demographics
NPI:1497915847
Name:ARANSON, NATHAN JACOB (MD)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:JACOB
Last Name:ARANSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:400 SOUTHBOROUGH DR STE 400-102
Mailing Address - Street 2:
Mailing Address - City:S PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106-3249
Mailing Address - Country:US
Mailing Address - Phone:207-464-8288
Mailing Address - Fax:207-274-7848
Practice Address - Street 1:400 SOUTHBOROUGH DR STE 400-102
Practice Address - Street 2:
Practice Address - City:S PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106-3249
Practice Address - Country:US
Practice Address - Phone:207-464-8288
Practice Address - Fax:207-274-7848
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60561274208600000X
CAA104159208600000X
NH196282086S0129X
MEMD220432086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH19628OtherNEW HAMPSHIRE BOARD OF MEDICINE
MEMD22043OtherMAINE BOARD OF LICENSURE IN MEDICINE
CAA104159OtherMEDICAL BOARD OF CALIFORNIA
NH19628OtherNEW HAMPSHIRE BOARD OF MEDICINE