Provider Demographics
NPI:1295716249
Name:BLECHER, ARON (MD)
Entity type:Individual
Prefix:DR
First Name:ARON
Middle Name:
Last Name:BLECHER
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 1:5020 GREENBRIER DR
Mailing Address - Street 2:
Mailing Address - City:GIRARD
Mailing Address - State:OH
Mailing Address - Zip Code:44420-1616
Mailing Address - Country:US
Mailing Address - Phone:330-759-0400
Mailing Address - Fax:
Practice Address - Street 1:716 TOD AVE SW
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44485-3608
Practice Address - Country:US
Practice Address - Phone:330-373-0222
Practice Address - Fax:330-884-6120
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.045144207R00000X
OH35045144B207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0464699Medicaid
OH0464699Medicaid
0485433Medicare ID - Type Unspecified