Provider Demographics
NPI:1326123308
Name:ARBESFELD, STUART JAY (MD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:JAY
Last Name:ARBESFELD
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 1:62 HANCOCK ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02420-3421
Mailing Address - Country:US
Mailing Address - Phone:781-861-6309
Mailing Address - Fax:
Practice Address - Street 1:275 VARNUM AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01854-2141
Practice Address - Country:US
Practice Address - Phone:978-452-3888
Practice Address - Fax:978-453-5888
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA57972174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3115411Medicaid
MA4740OtherHARVARD PILGRIM HEALTHCAR
MA531600OtherAETNA
MA703522OtherTUFTS HEALTH PLAN
MAJ08142OtherBLUE CROSS BLUE SHIELD
MA703522OtherTUFTS HEALTH PLAN
MAD87945Medicare UPIN