Provider Demographics
NPI:1942229455
Name:AGGARWAL, ARVIND KUMAR (DO)
Entity Type:Individual
Prefix:DR
First Name:ARVIND
Middle Name:KUMAR
Last Name:AGGARWAL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 KINDERKAMACK RD
Mailing Address - Street 2:
Mailing Address - City:WOODCLIFF LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07677-8018
Mailing Address - Country:US
Mailing Address - Phone:201-930-1116
Mailing Address - Fax:
Practice Address - Street 1:23 KINDERKAMACK RD
Practice Address - Street 2:
Practice Address - City:WOODCLIFF LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07677-8018
Practice Address - Country:US
Practice Address - Phone:201-930-1116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB07716900208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJI 26884Medicare UPIN