Provider Demographics
NPI:1760495261
Name:ARON, BARRY (MD)
Entity Type:Individual
Prefix:
First Name:BARRY
Middle Name:
Last Name:ARON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:BER
Other - Middle Name:BARRY
Other - Last Name:ARON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9715 MEDICAL CENTER DRIVE #404
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850
Mailing Address - Country:US
Mailing Address - Phone:301-424-0433
Mailing Address - Fax:301-424-0422
Practice Address - Street 1:9715 MEDICAL CENTER DRIVE #404
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850
Practice Address - Country:US
Practice Address - Phone:301-424-0433
Practice Address - Fax:301-424-0422
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD15739208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD020291600Medicaid
C61972Medicare UPIN