Provider Demographics
NPI:1174674899
Name:ARLUK, JUDITH I (MD)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:I
Last Name:ARLUK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1987 CENTURION DR
Mailing Address - Street 2:SUITE 001
Mailing Address - City:FOREST HILLS, PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221
Mailing Address - Country:US
Mailing Address - Phone:412-242-7733
Mailing Address - Fax:412-242-4705
Practice Address - Street 1:1987 CENTURION DR
Practice Address - Street 2:SUITE 001
Practice Address - City:FOREST HILLS, PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221
Practice Address - Country:US
Practice Address - Phone:412-242-7733
Practice Address - Fax:412-242-4705
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD030324E207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAE13061Medicare UPIN
PA557681Medicare ID - Type Unspecified