Provider Demographics
NPI:1710921887
Name:BARTOLOZZI, ARTHUR ROBERT (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:ROBERT
Last Name:BARTOLOZZI
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:PO BOX 8500-1672
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-1672
Mailing Address - Country:US
Mailing Address - Phone:215-269-6700
Mailing Address - Fax:215-269-6701
Practice Address - Street 1:601 WALNUT ST
Practice Address - Street 2:STE L50
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106-3323
Practice Address - Country:US
Practice Address - Phone:215-409-9300
Practice Address - Fax:215-409-9365
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2013-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD028153E207XX0005X
NJ25MA05592700207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2069873OtherAETNA
PA0082959000OtherI.B.C.
PA0082959000OtherI.B.C.
PAA53169Medicare UPIN
PA2069873OtherAETNA