Provider Demographics
NPI:1841412954
Name:ARONZON, DENISE B (MD)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:B
Last Name:ARONZON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 BLAIR PARK RD STE 285
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:VT
Mailing Address - Zip Code:05495-7586
Mailing Address - Country:US
Mailing Address - Phone:802-288-1140
Mailing Address - Fax:802-288-1144
Practice Address - Street 1:1127 NORTH AVE
Practice Address - Street 2:SUITE 41
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05408-2757
Practice Address - Country:US
Practice Address - Phone:802-846-8100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101243675208000000X
NY251561-1208000000X
VT042-0012260208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1014877Medicaid
NY03151553Medicaid
NY03151553Medicaid