Provider Demographics
NPI:1760494546
Name:ARONSON, REBECCA SUE (DO)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:SUE
Last Name:ARONSON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6410 ROCKLEDGE DR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-1809
Mailing Address - Country:US
Mailing Address - Phone:301-941-4004
Mailing Address - Fax:301-941-4015
Practice Address - Street 1:6410 ROCKLEDGE DR
Practice Address - Street 2:SUITE 210
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-1809
Practice Address - Country:US
Practice Address - Phone:301-941-4004
Practice Address - Fax:301-941-4015
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH0064810208100000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDI67600Medicare UPIN
DC020512P53Medicare PIN
MD579LT009Medicare PIN
MD376MP598Medicare PIN