Provider Demographics
NPI:1538227905
Name:ENGLARD, ARTHUR (MD, PHD)
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:
Last Name:ENGLARD
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-2042
Mailing Address - Country:US
Mailing Address - Phone:201-916-6348
Mailing Address - Fax:
Practice Address - Street 1:2 WEST 67TH STREET
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023
Practice Address - Country:US
Practice Address - Phone:212-712-9433
Practice Address - Fax:212-712-9503
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY160418207RA0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY80D411Medicare ID - Type Unspecified
NYA64343Medicare UPIN