Healthcare Provider Details
I. General information
NPI: 1902814643
Provider Name (Legal Business Name): ARPITA P. PITRODA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/04/2006
Last Update Date: 01/10/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
77 HERRICK ST SUITE 101
BEVERLY MA
01915-2782
US
IV. Provider business mailing address
200 E 32ND ST APT 25E
NEW YORK NY
10016-6521
US
V. Phone/Fax
- Phone: 978-927-4110
- Fax: 978-232-7057
- Phone: 617-851-3411
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RE0101X |
| Taxonomy | Endocrinology, Diabetes & Metabolism Physician |
| License Number | 239624 |
| License Number State | MA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RE0101X |
| Taxonomy | Endocrinology, Diabetes & Metabolism Physician |
| License Number | 25MA08125000 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: