Basic Information
Provider Information
NPI: 1144296682
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARONSON
FirstName: LINDA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 630 PLANTATION STREET
Address2: WOT 12TH FLOOR ATTN PHYSICIAN SERVICES
City: WORCESTER
State: MA
PostalCode: 01605
CountryCode: US
TelephoneNumber: 5083685529
FaxNumber: 5083685530
Practice Location
Address1: 340 THOMPSON ROAD
Address2:  
City: WEBSTER
State: MA
PostalCode: 01570
CountryCode: US
TelephoneNumber: 5083683110
FaxNumber: 5083683113
Other Information
ProviderEnumerationDate: 02/24/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X178405MAY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

ID Information
IDTypeStateIssuerDescription
032463905MA MEDICAID
AA366801 HARVARD PILGRIMOTHER
38129801 MVP HEALTH CAREOTHER
NP110901 BLUE CARE ELECTOTHER
NP110901 BLUE SHIELD HMO BLUEOTHER
4517401 CHILDRENS MEDICALOTHER
NP110901 BLUE SHIELD INDEMNITYOTHER
5717801 FALLON COMMUNITY HEALTHOTHER
830112901 EVERCAREOTHER


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