Provider Demographics
NPI:1285662205
Name:ARTHUR MEDICAL & SPORTS ASSOC PA
Entity Type:Organization
Organization Name:ARTHUR MEDICAL & SPORTS ASSOC PA
Other - Org Name:ARTHUR G. NAHAS, DO
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:G
Authorized Official - Last Name:NAHAS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:609-927-6255
Mailing Address - Street 1:631 SHORE RD STE 2
Mailing Address - Street 2:
Mailing Address - City:SOMERS POINT
Mailing Address - State:NJ
Mailing Address - Zip Code:08244-2483
Mailing Address - Country:US
Mailing Address - Phone:609-927-6555
Mailing Address - Fax:609-653-9133
Practice Address - Street 1:631 SHORE RD STE 2
Practice Address - Street 2:
Practice Address - City:SOMERS POINT
Practice Address - State:NJ
Practice Address - Zip Code:08244-2483
Practice Address - Country:US
Practice Address - Phone:609-927-6555
Practice Address - Fax:609-653-9133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB3342200207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AN7573822OtherDEA
NJ2223795Medicaid
NJ2223795Medicaid
AN7573822OtherDEA