Provider Demographics
NPI:1134263536
Name:BLANK, ARTHUR SAXTON JR (MD)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:SAXTON
Last Name:BLANK
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4401 E WEST HWY STE 202
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-4541
Mailing Address - Country:US
Mailing Address - Phone:301-951-5611
Mailing Address - Fax:301-469-2470
Practice Address - Street 1:4401 E WEST HWY STE 202
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4541
Practice Address - Country:US
Practice Address - Phone:301-951-5611
Practice Address - Fax:301-469-2470
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD436052084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
BL 960059Medicare ID - Type Unspecified
G56314Medicare UPIN