Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 25MAO1968500 | NJ |
NPI | 1730185216 |
---|---|
Provider Name | Dr. Harold Arlen |
First Address | South Plainfield, NJ 07080-4744 |
Second Address | Edison, NJ 08820-1089 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2005 |
Last Update Date | 13/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7083301 | (05) | NJ |
B77825 | (02) | NJ |