Provider Demographics
NPI:1033190749
Name:KRESS, ARTHUR S (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:S
Last Name:KRESS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 WARREN AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-4979
Mailing Address - Country:US
Mailing Address - Phone:781-933-1198
Mailing Address - Fax:781-933-9246
Practice Address - Street 1:23 WARREN AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-4979
Practice Address - Country:US
Practice Address - Phone:781-933-1198
Practice Address - Fax:781-933-9246
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA38103207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
B10018OtherBCBS
B10018OtherBCBS
A32145Medicare UPIN