Provider Demographics
NPI:1700850716
Name:ESSWEIN, ARTHUR JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:JOSEPH
Last Name:ESSWEIN
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 1:116 COURT ST
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-0710
Mailing Address - Country:US
Mailing Address - Phone:508-746-6257
Mailing Address - Fax:508-747-1410
Practice Address - Street 1:116 COURT ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-0710
Practice Address - Country:US
Practice Address - Phone:508-746-6257
Practice Address - Fax:508-747-1410
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2015-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA50594207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA30024OtherHARVARD PILGRIM
MA710269OtherTUFTS HEALTHCARE
MAA56968Medicare UPIN
A56968Medicare UPIN
MA6178685Medicaid
MAJ03243Medicare ID - Type Unspecified
MA000000026001OtherBMC HEALTHNET
J03243Medicare PIN