Provider Demographics
NPI:1942513411
Name:ARONOW, CEDOR BORIS II (MD)
Entity Type:Individual
Prefix:DR
First Name:CEDOR
Middle Name:BORIS
Last Name:ARONOW
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 GREEN BAY RD
Mailing Address - Street 2:
Mailing Address - City:THIENSVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53092-1309
Mailing Address - Country:US
Mailing Address - Phone:262-242-0108
Mailing Address - Fax:
Practice Address - Street 1:407 GREEN BAY RD
Practice Address - Street 2:
Practice Address - City:THIENSVILLE
Practice Address - State:WI
Practice Address - Zip Code:53092-1309
Practice Address - Country:US
Practice Address - Phone:262-242-0108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-26
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI014672208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics