Provider Demographics
NPI:1568535243
Name:SPORN, AARON A (MD)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:A
Last Name:SPORN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 QUAKERBRIDGE PLAZA
Mailing Address - Street 2:MEDICAL ARTS BUILDING
Mailing Address - City:MERCERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-1255
Mailing Address - Country:US
Mailing Address - Phone:609-587-4600
Mailing Address - Fax:609-586-9702
Practice Address - Street 1:8 QUAKERBRIDGE PLAZA
Practice Address - Street 2:
Practice Address - City:MERCERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08619-1255
Practice Address - Country:US
Practice Address - Phone:609-587-4600
Practice Address - Fax:609-586-9702
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04408700207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3243109Medicaid
444267Medicare ID - Type Unspecified
NJ3243109Medicaid