Basic Information
| Provider Information | |||||||||
| NPI: | 1689644577 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KING | ||||||||
| FirstName: | ARTHUR | ||||||||
| MiddleName: | G | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 57 UNION ST | ||||||||
| Address2: | |||||||||
| City: | WESTFIELD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 010852658 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4135692257 | ||||||||
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| Practice Location | |||||||||
| Address1: | 800 COLLEGE HWY | ||||||||
| Address2: | NOBLE MEDICAL GROUP | ||||||||
| City: | SOUTHWICK | ||||||||
| State: | MA | ||||||||
| PostalCode: | 010779690 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4135692257 | ||||||||
| FaxNumber: | 4135692264 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/24/2006 | ||||||||
| LastUpdateDate: | 01/23/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 49407 | MA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 99591648 | 05 | MA | MEDICAID |