Provider Demographics
NPI:1528028347
Name:LESTER, ARTHUR I (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:I
Last Name:LESTER
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 1:5 FRANKLIN AVE
Mailing Address - Street 2:SUITE #305
Mailing Address - City:BELLEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07109-3532
Mailing Address - Country:US
Mailing Address - Phone:973-759-4005
Mailing Address - Fax:973-759-1766
Practice Address - Street 1:5 FRANKLIN AVE
Practice Address - Street 2:SUITE #305
Practice Address - City:BELLEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07109-3532
Practice Address - Country:US
Practice Address - Phone:973-759-4005
Practice Address - Fax:973-759-1766
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ30234207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ196262Medicare ID - Type Unspecified
NJC57172Medicare UPIN