Provider Demographics
NPI:1871533620
Name:CHILDS, ARTHUR LEWIS (DO)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:LEWIS
Last Name:CHILDS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:307 STONE HARBOR BLVD
Mailing Address - Street 2:STE 3
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-2170
Mailing Address - Country:US
Mailing Address - Phone:609-463-0555
Mailing Address - Fax:609-463-0064
Practice Address - Street 1:307 STONE HARBOR BLVD
Practice Address - Street 2:STE 3
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-2170
Practice Address - Country:US
Practice Address - Phone:609-463-0555
Practice Address - Fax:609-463-0064
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB51219207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1793101Medicaid
NJ0405475000OtherAMERIHEALTH ID
NJ0405475000OtherAMERIHEALTH ID
NJ583608Medicare PIN