Provider Demographics
NPI:1255397402
Name:DEYKIN, AARON (MD)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:DEYKIN
Suffix:
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 1:75 FRANCIS STREET PBB CLINICS 3
Mailing Address - Street 2:BRIGHAM AND WOMEN'S HOSPITAL PULMONARY DIVISION
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:617-732-6987
Mailing Address - Fax:
Practice Address - Street 1:75 FRANCIS STREET PBB CLINICS 3
Practice Address - Street 2:BRIGHAM AND WOMEN'S HOSPITAL PULMONARY DIVISION
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-732-6987
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA79036207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease