Basic Information
| Provider Information | |||||||||
| NPI: | 1144277930 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ARONOFF | ||||||||
| FirstName: | GERALD | ||||||||
| MiddleName: | MARTIN | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1844 | ||||||||
| Address2: | |||||||||
| City: | BRYSON CITY | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287131844 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7043473447 | ||||||||
| FaxNumber: | 7043473440 | ||||||||
| Practice Location | |||||||||
| Address1: | 1900 RANDOLPH RD STE 1016 | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282071117 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7043473447 | ||||||||
| FaxNumber: | 7043473440 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/28/2006 | ||||||||
| LastUpdateDate: | 07/05/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | 9401375 | NC | N | Other Service Providers | Specialist | 2084A0401X | 9401375 | NC | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Addiction Medicine | 2084F0202X | 9401375 | NC | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Forensic Psychiatry | 2084N0400X | 9401375 | NC | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology | 2084P0802X | 9401375 | NC | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Addiction Psychiatry | 2084P2900X | 9401375 | NC | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Pain Medicine | 208100000X | 9401375 | NC | Y | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation |
ID Information
| ID | Type | State | Issuer | Description | 8910749 | 05 | NC | MEDICAID |