Provider Demographics
NPI:1730154048
Name:PEARL, AARON BEN (DPM)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:BEN
Last Name:PEARL
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1715 N GEORGE MASON DR
Mailing Address - Street 2:SUITE 407
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-3609
Mailing Address - Country:US
Mailing Address - Phone:703-516-9408
Mailing Address - Fax:703-516-4340
Practice Address - Street 1:1715 N GEORGE MASON DR
Practice Address - Street 2:SUITE 407
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3609
Practice Address - Country:US
Practice Address - Phone:703-516-9408
Practice Address - Fax:703-547-9979
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-21
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0103000883213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAG01793Medicare PIN