MEDICARE: DR. LINDSAY GRIER ARTHUR III M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0120X	Pediatric Surgery Physician	25MA09193100	NJ
2	2086S0120X	Pediatric Surgery Physician	MD071825L	PA

General Provider Information

NPI Number	:	1184833519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINDSAY GRIER ARTHUR III M.D.

Provider Business Mailing Address
First Line	:	ERIE AVE. AT FRONT ST.
Second Line	:	DERPARTMENT OF SURGERY, SUITE 2204
City	:	PHILADELPHIA
State	:	PA
Zip	:	19134-1095
Country	:	US
Telephone Number	:	215-427-5293
Fax Number	:	215-427-4616

Provider Business Practice Location Address
First Line	:	ERIE AVE. AT FRONT ST.
Second Line	:	DERPARTMENT OF SURGERY, SUITE 2204
City	:	PHILADELPHIA
State	:	PA
Zip	:	19134-1095
Country	:	US
Telephone Number	:	215-427-4956
Fax Number	:	215-427-4616

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	11/08/2021

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