Basic Information
| Provider Information | |||||||||
| NPI: | 1063567642 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | AARON ELKIN M.D. P.A. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1130 E HALLANDALE BEACH BLVD | ||||||||
| Address2: | #A | ||||||||
| City: | HALLANDALE BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330094416 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9544580909 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1130 E HALLANDALE BEACH BLVD | ||||||||
| Address2: | #A | ||||||||
| City: | HALLANDALE BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330094416 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9544580909 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/24/2007 | ||||||||
| LastUpdateDate: | 12/14/2007 | ||||||||
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| AuthorizedOfficialLastName: | ELKIN | ||||||||
| AuthorizedOfficialFirstName: | AARON | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 9544580909 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | ME68397 | FL | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.