Provider Demographics
NPI:1851469787
Name:MIDDLETON, ARTHUR EVERETT (MD)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:EVERETT
Last Name:MIDDLETON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2 TUDOR CITY PLACE
Mailing Address - Street 2:APT 8 EN
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-6813
Mailing Address - Country:US
Mailing Address - Phone:212-953-1668
Mailing Address - Fax:
Practice Address - Street 1:1172B WEST MAIN STREET
Practice Address - Street 2:ISL, LTD
Practice Address - City:STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18360-1329
Practice Address - Country:US
Practice Address - Phone:570-424-6187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4296332084P0800X
NY133951-12084P0800X
NJ25MA034939002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC54886Medicare UPIN