Provider Demographics
NPI:1053354787
Name:GOLDFEIN, AARON SCOTT (MD)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:SCOTT
Last Name:GOLDFEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2040 MONROE ST
Mailing Address - Street 2:SUITE #209
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-2921
Mailing Address - Country:US
Mailing Address - Phone:313-359-3800
Mailing Address - Fax:313-277-4100
Practice Address - Street 1:2040 MONROE ST
Practice Address - Street 2:SUITE #209
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-2921
Practice Address - Country:US
Practice Address - Phone:313-359-3800
Practice Address - Fax:313-277-4100
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAG082782207L00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI010684376OtherCOMMERCIAL INSURANCE
MI700H219440OtherBCBS GROUP
MI0106334982OtherBCBS PERSONAL
MI4616610-10Medicaid
MII04963Medicare UPIN
MI010684376OtherCOMMERCIAL INSURANCE