Active NPIIndividual provider

Dr. Aaron R Dezube, MD

Surgery in Brighton, Massachusetts

NPI Number1093166779
Practice location
11 Nevins St, Suite 201, Brighton, MA 02135
Fax
617-202-4349
Last updated
May 14, 2025

Aaron Richard Dezube is a Surgery based in Brighton, MA. Aaron Richard Dezube practices in Brighton, MA and has the professional credentials of MD. The NPI Number for Aaron Richard Dezube is 1093166779 and holds a License No. 279657 (MA). The current practice location address for Aaron Richard Dezube is 11 Nevins St, Suite 201, Brighton, MA 02135 and can be reached out via phone at 617-789-2442 and via fax at 617-202-4349.

Provider Profile Details

NPI Number
1093166779
Provider Name
Aaron Richard Dezube
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11 Nevins St, Suite 201, Brighton, MA 02135
Phone Number
617-789-2442
Fax Number
617-202-4349
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
No
Provider Enumeration Date
June 23, 2016
Last Update Date
May 14, 2025
Certification Date
May 14, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Nevins St
Suite 201
Brighton, MA 02135
Zip
02135
Phone Number
617-789-2442
Fax Number
617-202-4349
Brighton, MA 02135Get directions →

Provider Business Mailing Address Details

Address
960 Massachusetts Avenue
Fl 2
Brighton, MA 02118-2690
City
Brighton
State
MA
Zip
02118-2690

License Information

License Number (1)
279657
License State (1)
MA
Taxonomy (1)
Surgery · 208600000X · Primary
License Number (2)
MT233245
License State (2)
PA

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Aaron R Dezube, MD?

The NPI number of Dr. Aaron R Dezube, MD is 1093166779. It was assigned on June 23, 2016 and is currently active in the NPPES registry.

What is the specialty of Dr. Aaron R Dezube, MD?

Dr. Aaron R Dezube, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in MA under license number 279657.

Where does Dr. Aaron R Dezube, MD practice?

The practice location is 11 Nevins St, Suite 201, Brighton, MA 02135. The office can be reached at 617-789-2442 (phone) or 617-202-4349 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093166779 directly on the NPPES registry website.

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