MEDICARE: HAROLD ARLEN MD PA

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	174400000X	Specialist		NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720277783
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAROLD ARLEN MD PA

Provider Business Mailing Address
First Line	:	2110 MAPLE AVE
Second Line	:
City	:	SOUTH PLAINFIELD
State	:	NJ
Zip	:	07080-4744
Country	:	US
Telephone Number	:	908-753-1144
Fax Number	:	908-753-0094

Provider Business Practice Location Address
First Line	:	2110 MAPLE AVE
Second Line	:
City	:	SOUTH PLAINFIELD
State	:	NJ
Zip	:	07080-4744
Country	:	US
Telephone Number	:	908-753-1144
Fax Number	:	908-753-0094

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. HAROLD ARLEN
Credential	:	MD
Telephone Number	:	908-753-1144

Provider Enumeration Date	:	10/16/2007
Last Update Date	:	10/16/2007

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