Basic Information
Provider Information
NPI: 1851469787
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MIDDLETON
FirstName: ARTHUR
MiddleName: EVERETT
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2 TUDOR CITY PLACE
Address2: APT 8 EN
City: NEW YORK
State: NY
PostalCode: 100176813
CountryCode: US
TelephoneNumber: 2129531668
FaxNumber:  
Practice Location
Address1: 1172B WEST MAIN STREET
Address2: ISL, LTD
City: STROUDSBURG
State: PA
PostalCode: 183601329
CountryCode: US
TelephoneNumber: 5704246187
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/30/2006
LastUpdateDate: 09/30/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800XMD429633PAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
2084P0800X133951-1NYN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
2084P0800X25MA03493900NJN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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