Provider Demographics
NPI:1730185216
Name:ARLEN, HAROLD (MD)
Entity type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:
Last Name:ARLEN
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 1:2110 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07080-4744
Mailing Address - Country:US
Mailing Address - Phone:908-753-1144
Mailing Address - Fax:908-753-0094
Practice Address - Street 1:2124 OAK TREE RD FL 2
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-1089
Practice Address - Country:US
Practice Address - Phone:732-205-1311
Practice Address - Fax:732-205-9648
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-21
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MAO1968500174400000X, 207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7083301Medicaid
NJ085834D L3Medicare PIN
NJ7083301Medicaid