Provider Demographics
NPI:1609806181
Name:MC ARTHUR, MARILYN DENISE (MD)
Entity Type:Individual
Prefix:DR
First Name:MARILYN
Middle Name:DENISE
Last Name:MC ARTHUR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:349 E NORTHFIELD RD
Mailing Address - Street 2:SUITE 212
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-4802
Mailing Address - Country:US
Mailing Address - Phone:973-758-9311
Mailing Address - Fax:973-758-1430
Practice Address - Street 1:349 E NORTHFIELD RD
Practice Address - Street 2:SUITE 212
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-4802
Practice Address - Country:US
Practice Address - Phone:973-758-9311
Practice Address - Fax:973-758-1430
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03801600207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0311308Medicaid
NJ0311308Medicaid
NJC54485Medicare UPIN