Provider Demographics
NPI:1487805826
Name:ARTUR CARVALHO MD, PC
Entity type:Organization
Organization Name:ARTUR CARVALHO MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTUR
Authorized Official - Middle Name:MENESES
Authorized Official - Last Name:CARVALHO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-274-9880
Mailing Address - Street 1:243 CHESTNUT ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07105-6501
Mailing Address - Country:US
Mailing Address - Phone:973-274-9880
Mailing Address - Fax:973-274-1959
Practice Address - Street 1:243 CHESTNUT ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07105-6501
Practice Address - Country:US
Practice Address - Phone:973-274-9880
Practice Address - Fax:973-274-1959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-03
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMAO73148207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0025615Medicaid
NJ0025615Medicaid
NJH73914Medicare UPIN