Provider Demographics
NPI:1033212105
Name:ARNDT, EDWARD W III (NP)
Entity Type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:W
Last Name:ARNDT
Suffix:III
Gender:M
Credentials:NP
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Mailing Address - Street 1:PO BOX 415348
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-5348
Mailing Address - Country:US
Mailing Address - Phone:800-225-8885
Mailing Address - Fax:508-334-1977
Practice Address - Street 1:281 LINCOLN ST
Practice Address - Street 2:EICU
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-2138
Practice Address - Country:US
Practice Address - Phone:508-793-6310
Practice Address - Fax:508-793-6315
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA216010363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000034401Medicare PIN
Q78922Medicare UPIN