Provider Demographics
NPI:1508039413
Name:RICKLES, AARON SAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:SAUL
Last Name:RICKLES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:600 RED CREEK DR STE 200
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-4300
Mailing Address - Country:US
Mailing Address - Phone:585-222-6566
Mailing Address - Fax:585-338-1477
Practice Address - Street 1:600 RED CREEK DR STE 200
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-4300
Practice Address - Country:US
Practice Address - Phone:585-222-6566
Practice Address - Fax:585-338-1477
Is Sole Proprietor?:No
Enumeration Date:2008-04-11
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY264186-1208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery