Provider Demographics
NPI:1659614097
Name:AGOP ARTINIAN MD
Entity Type:Organization
Organization Name:AGOP ARTINIAN MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:AGOP
Authorized Official - Middle Name:
Authorized Official - Last Name:ARTINIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:2019-456-3149
Mailing Address - Street 1:477 BERGEN BLVD
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07657-2803
Mailing Address - Country:US
Mailing Address - Phone:201-945-6319
Mailing Address - Fax:201-967-8443
Practice Address - Street 1:477 BERGEN BLVD
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07657-2803
Practice Address - Country:US
Practice Address - Phone:201-945-6319
Practice Address - Fax:201-967-8443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-04
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty