Provider Demographics
NPI:1760784938
Name:AARON H MAGAT MD PA
Entity Type:Organization
Organization Name:AARON H MAGAT MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:H
Authorized Official - Last Name:MAGAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-902-9500
Mailing Address - Street 1:23 CROSSROADS DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5477
Mailing Address - Country:US
Mailing Address - Phone:410-902-9500
Mailing Address - Fax:410-902-9506
Practice Address - Street 1:23 CROSSROADS DR
Practice Address - Street 2:SUITE 200
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-5477
Practice Address - Country:US
Practice Address - Phone:410-902-9500
Practice Address - Fax:410-902-9506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-22
Last Update Date:2010-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD39167207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD5693519Medicaid