Healthcare Provider Details
I. General information
NPI: 1780633131
Provider Name (Legal Business Name): JEFFREY HUGH AROESTY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/10/2006
Last Update Date: 01/24/2025
Certification Date: 01/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
400 VALLEY RD SUITE 105
MOUNT ARLINGTON NJ
07856-2316
US
IV. Provider business mailing address
400 VALLEY RD SUITE 105
MOUNT ARLINGTON NJ
07856-2316
US
V. Phone/Fax
- Phone: 973-770-7101
- Fax: 973-770-7108
- Phone: 973-770-7101
- Fax: 973-770-7108
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | MA060415 |
| License Number State | NJ |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Y00000X |
| Taxonomy | Otolaryngology Physician |
| License Number | 25MA06041500 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: