Provider Demographics
NPI:1366547739
Name:AARONSON, MICHAEL JAY (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JAY
Last Name:AARONSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:77 HERRICK ST
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-2734
Mailing Address - Country:US
Mailing Address - Phone:978-927-4110
Mailing Address - Fax:978-232-7056
Practice Address - Street 1:77 HERRICK ST
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-2734
Practice Address - Country:US
Practice Address - Phone:978-927-4110
Practice Address - Fax:978-232-7056
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA43761207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0030207OtherNEIGHBORHOOD HEALTH PLAN
0084162OtherUS HEALTHCARE
1731499OtherCIGNA
30288OtherHARVARD PILGRIM
711657OtherTUFTS
P00050812OtherRAILROAD MEDICARE
MA2088487Medicaid
P00050812OtherRAILROAD MEDICARE
MAJ01108Medicare PIN
1731499OtherCIGNA