MEDICARE: ARTHUR MICHAEL MOLINA MD

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	207V00000X	Obstetrics & Gynecology Physician	25MA04526100	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	:	1396788618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARTHUR MICHAEL MOLINA MD

Provider Business Mailing Address
First Line	:	475 ROUTE 70
Second Line	:	SUITE 101 OCEAN GTN & OB ASSOC
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-5897
Country	:	US
Telephone Number	:	732-364-8000
Fax Number	:	732-364-4601

Provider Business Practice Location Address
First Line	:	475 ROUTE 70
Second Line	:	SUITE 101
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-5897
Country	:	US
Telephone Number	:	732-364-8000
Fax Number	:	732-364-4601

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

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	07/08/2007

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