Provider Demographics
NPI:1750604880
Name:ASKANASE, AARON MOSHE (MAC)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:MOSHE
Last Name:ASKANASE
Suffix:
Gender:M
Credentials:MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 INGLESIDE RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02420-2522
Mailing Address - Country:US
Mailing Address - Phone:617-522-7853
Mailing Address - Fax:
Practice Address - Street 1:18 INGLESIDE RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02420-2522
Practice Address - Country:US
Practice Address - Phone:617-522-7853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-03
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA215237171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist