Provider Demographics
NPI:1891789186
Name:AARONS, MAUREEN LEAHY (MD)
Entity Type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:LEAHY
Last Name:AARONS
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 1:3200 BLUE RIDGE RD STE 118
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-8087
Mailing Address - Country:US
Mailing Address - Phone:919-439-1901
Mailing Address - Fax:919-439-1906
Practice Address - Street 1:3200 BLUE RIDGE RD STE 118
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-8087
Practice Address - Country:US
Practice Address - Phone:919-439-1901
Practice Address - Fax:919-439-1906
Is Sole Proprietor?:No
Enumeration Date:2005-09-01
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC38647207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8910106Medicaid
2222725BMedicare ID - Type Unspecified
G29693Medicare UPIN