Provider Demographics
NPI:1558387423
Name:ARONSON, SCOTT M (DPM)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:M
Last Name:ARONSON
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1017 TURNPIKE ST STE 12B
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MA
Mailing Address - Zip Code:02021-2847
Mailing Address - Country:US
Mailing Address - Phone:781-344-1440
Mailing Address - Fax:781-344-1481
Practice Address - Street 1:1017 TURNPIKE ST STE 12B
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MA
Practice Address - Zip Code:02021-2847
Practice Address - Country:US
Practice Address - Phone:781-344-1440
Practice Address - Fax:781-344-1481
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA002078213E00000X
MA2078213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0307335Medicaid
MA4426540001Medicare NSC
MAU62864Medicare UPIN
MA0307335Medicaid