Provider Demographics
NPI:1689644577
Name:KING, ARTHUR G JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:G
Last Name:KING
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:57 UNION ST
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085-2658
Mailing Address - Country:US
Mailing Address - Phone:413-569-2257
Mailing Address - Fax:
Practice Address - Street 1:800 COLLEGE HWY
Practice Address - Street 2:NOBLE MEDICAL GROUP
Practice Address - City:SOUTHWICK
Practice Address - State:MA
Practice Address - Zip Code:01077-9690
Practice Address - Country:US
Practice Address - Phone:413-569-2257
Practice Address - Fax:413-569-2264
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2015-01-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA49407207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA99591648Medicaid
MAH21077Medicare PIN
B99215Medicare UPIN
MA99591648Medicaid