Provider Demographics
NPI:1710957444
Name:AARONSON, JACOB W (DO, MA)
Entity Type:Individual
Prefix:DR
First Name:JACOB
Middle Name:W
Last Name:AARONSON
Suffix:
Gender:M
Credentials:DO, MA
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1722 SHERIDAN ST # 245
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-2275
Mailing Address - Country:US
Mailing Address - Phone:407-316-9292
Mailing Address - Fax:703-783-0099
Practice Address - Street 1:1722 SHERIDAN ST # 245
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-2275
Practice Address - Country:US
Practice Address - Phone:240-731-6929
Practice Address - Fax:703-783-0099
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA01022016002083C0008X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2083C0008XAllopathic & Osteopathic PhysiciansPreventive MedicineClinical Informatics