1093806366 NPI number — DR. BETH L ARONSON M.D.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1093806366 NPI number — DR. BETH L ARONSON M.D.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

ARONSON

Provider First Name:

BETH

Provider Middle Name:

L

Provider Name Prefix Text:

DR.

Provider Name Suffix Text:

Provider Credential Text:

M.D.

Provider Gender Code:

F

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1093806366

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

03/28/2022

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

15499 CRAPE MYRTLE RD

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

MILTON

Provider Business Mailing Address State Name:

DE

Provider Business Mailing Address Postal Code:

19968-9606

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

202-934-7417

Provider Business Mailing Address Fax Number:

Provider First Line Business Practice Location Address:

124 SLADE AVE STE 210

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

BALTIMORE

Provider Business Practice Location Address State Name:

MD

Provider Business Practice Location Address Postal Code:

21208-4991

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

410-486-6540

Provider Business Practice Location Address Fax Number:

Provider Enumeration Date:

09/28/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207VG0400X , with the licence number:  D27347 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: KJ43GY-41038108 . This is a "GBMC CAREFIRST MD" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
• Identifier: 4136746 . This is a "GBMC AETNA NON HMO" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
• Identifier: 2153948 . This is a "GBMC MAMSI" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
• Identifier: 06452 . This is a "GBMC AMERIGROUP" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
• Identifier: 1332154 . This is a "GBMC AETNA HMO" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
• Identifier: 1369606 . This is a "GBMC CIGNA" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
• Identifier: 246101 . This is a "GBMC KAISER PERM" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
• Identifier: 0707483 . This is a "GBMC UHC AMERICHOICE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
• Identifier: S1400040 . This is a "GBMC CAREFIRST REGIONAL" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
• Identifier: 003400200 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
• Identifier: 029222 . This is a "GBMC HOPKINS PRODUCTS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".