Provider Demographics
NPI:1871175877
Name:STRAFUSS, ARTHUR LEE
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:LEE
Last Name:STRAFUSS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 PARKRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WAYLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01778-4305
Mailing Address - Country:US
Mailing Address - Phone:978-239-8218
Mailing Address - Fax:
Practice Address - Street 1:8 PARKRIDGE RD
Practice Address - Street 2:
Practice Address - City:WAYLAND
Practice Address - State:MA
Practice Address - Zip Code:01778-4305
Practice Address - Country:US
Practice Address - Phone:978-239-8218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-28
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA7RJ4-CP2-MH01Medicaid