Provider Demographics
NPI:1053337683
Name:ARNOLD, MONICA ANN (DO)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:ANN
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1600 ST. GEORGES AVENUE PARKSIDE PLAZA
Mailing Address - Street 2:SUITE 111
Mailing Address - City:RAHWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07065-9998
Mailing Address - Country:US
Mailing Address - Phone:732-388-2422
Mailing Address - Fax:732-388-1706
Practice Address - Street 1:1600 ST. GEORGES AVENUE PARKSIDE PLAZA
Practice Address - Street 2:SUITE 111
Practice Address - City:RAHWAY
Practice Address - State:NJ
Practice Address - Zip Code:07065-9998
Practice Address - Country:US
Practice Address - Phone:732-388-2422
Practice Address - Fax:732-388-1706
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMB06715700207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0125857Medicaid
109777AEDMedicare PIN
I58864Medicare UPIN