Provider Demographics
NPI:1376682856
Name:STOWE, ARTHUR CHESTER JR (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:CHESTER
Last Name:STOWE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:16 MAYFAIR CT
Mailing Address - Street 2:
Mailing Address - City:MONROE TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-2054
Mailing Address - Country:US
Mailing Address - Phone:201-332-4110
Mailing Address - Fax:201-332-4122
Practice Address - Street 1:377 JERSEY AVE STE 460
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-4691
Practice Address - Country:US
Practice Address - Phone:201-332-4110
Practice Address - Fax:201-332-4122
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2012-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA06018500207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6982204Medicaid
NJ6982204Medicaid
NJ891350Medicare PIN