Provider Demographics
NPI:1902896368
Name:MARI, ARTHUR DONATO (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:DONATO
Last Name:MARI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 NORWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:WEST LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07764-1879
Mailing Address - Country:US
Mailing Address - Phone:732-222-0031
Mailing Address - Fax:732-222-3003
Practice Address - Street 1:280 NORWOOD AVE
Practice Address - Street 2:
Practice Address - City:WEST LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07764-1879
Practice Address - Country:US
Practice Address - Phone:732-222-0031
Practice Address - Fax:732-222-3003
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-26
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03835900207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJE60565Medicare UPIN
NJ521889Medicare PIN