Healthcare Provider Details

I. General information

NPI: 1538227905
Provider Name (Legal Business Name): ARTHUR ENGLARD M.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 03/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 WEST 67TH STREET
NEW YORK NY
10023
US

IV. Provider business mailing address

705 FOREST AVE
TEANECK NJ
07666-2042
US

V. Phone/Fax

Practice location:
  • Phone: 212-712-9433
  • Fax: 212-712-9503
Mailing address:
  • Phone: 201-916-6348
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License Number160418
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: