Provider Demographics
NPI:1992744684
Name:BOORSTEIN, AARON E (MD)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:E
Last Name:BOORSTEIN
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 1:13006 MOREHEAD
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-8448
Mailing Address - Country:US
Mailing Address - Phone:919-606-4760
Mailing Address - Fax:919-933-9665
Practice Address - Street 1:1170 E HALLANDALE BEACH BLVD
Practice Address - Street 2:1170C
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-4432
Practice Address - Country:US
Practice Address - Phone:954-458-1940
Practice Address - Fax:954-458-1946
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME23069174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist