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Individual

DR. MAUREEN M AARON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
314 FAIRY STREET EXT, SUITE A, MARTINSVILLE, VA 24112-1913
(276) 638-8692
(276) 638-3389
Mailing address
314 FAIRY STREET EXT, SUITE A, MARTINSVILLE, VA 24112-1913
(276) 638-8692
(276) 638-3389

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101036310
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080190378
RAILROAD MEDICARE PROVIDE
VA
01
173711
BLACK LUNG PROVIDER NUMBE
VA
01
292529
ANTHEM PROVIDER NUMBER
VA
05
5645069
VA
Enumeration date
12/22/2005
Last updated
03/08/2011
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