Provider Demographics
NPI:1710045901
Name:GILMAN, ARTHUR M (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:M
Last Name:GILMAN
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 1:101 OLD SHORT HILLS RD STE 409
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-1023
Mailing Address - Country:US
Mailing Address - Phone:973-322-6732
Mailing Address - Fax:973-322-6545
Practice Address - Street 1:101 OLD SHORT HILLS RD
Practice Address - Street 2:SUITE 409
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052
Practice Address - Country:US
Practice Address - Phone:973-322-6732
Practice Address - Fax:973-322-6545
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2011-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA0654300207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJDB1589OtherRAILROAD MEDICARE GRP
NJP00090014OtherRAILROAD MEDICARE PIN
HU166796Medicare ID - Type UnspecifiedMEDICARE
NJP00090014OtherRAILROAD MEDICARE PIN
F77191Medicare UPIN