Provider Demographics
NPI:1902964067
Name:ARIAS, MANUEL ARTURO (MD)
Entity Type:Individual
Prefix:DR
First Name:MANUEL
Middle Name:ARTURO
Last Name:ARIAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4514 HUDSON AVENUE
Mailing Address - Street 2:BASEMENT LEVEL
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087
Mailing Address - Country:US
Mailing Address - Phone:201-974-1945
Mailing Address - Fax:201-974-2552
Practice Address - Street 1:4514 HUDSON AVENUE
Practice Address - Street 2:BASEMENT LEVEL
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087
Practice Address - Country:US
Practice Address - Phone:201-974-1945
Practice Address - Fax:201-974-2552
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA58650207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5391601Medicaid
NJ5391601Medicaid
F41812Medicare UPIN