Provider Demographics
NPI:1457497356
Name:ARUNACHALAM, MUTHU (MD,)
Entity Type:Individual
Prefix:DR
First Name:MUTHU
Middle Name:
Last Name:ARUNACHALAM
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 1:8 GUNTHERS VIEW
Mailing Address - Street 2:
Mailing Address - City:TOWACO
Mailing Address - State:NJ
Mailing Address - Zip Code:07082
Mailing Address - Country:US
Mailing Address - Phone:973-270-0993
Mailing Address - Fax:973-994-0866
Practice Address - Street 1:22 OLD SHORT HILLS RD
Practice Address - Street 2:SUITE 110
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-5604
Practice Address - Country:US
Practice Address - Phone:973-994-0899
Practice Address - Fax:973-994-0866
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA71577207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ048629Medicare PIN
NJH 11194Medicare UPIN