Provider Demographics
NPI:1174598361
Name:SOSLOW, ARNOLD R (MD)
Entity type:Individual
Prefix:
First Name:ARNOLD
Middle Name:R
Last Name:SOSLOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:485 GRANITE ST
Mailing Address - Street 2:
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184-3944
Mailing Address - Country:US
Mailing Address - Phone:781-848-2273
Mailing Address - Fax:781-848-2275
Practice Address - Street 1:485 GRANITE ST
Practice Address - Street 2:
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184-3944
Practice Address - Country:US
Practice Address - Phone:781-848-2273
Practice Address - Fax:781-848-2275
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA346632083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
042472266OtherONE HEALTH PLAN
B47145OtherBLUE CARE ELECT
042472266OtherTRICARE
AA26155OtherHARVARD PILGRIM HLTHCARE
54330OtherFALLON COMM HEALTH PLAN
042472266OtherPRIVATE HEALTHCARE SYST
3319417OtherCIGNA HEALTH PLAN
B47145OtherMEDICARE B
785966OtherMVP HEALTH CARE
7956315OtherAETNA
7956315OtherUS HEALTHCARE
042472266OtherTHREE RIVERS
042472266OtherCHAMPUS
2008874OtherMEDICAID WELFARE
B47145OtherBLUE SHIELD HMO BLUE
B47145OtherBLUE SHIELD INDEMNITY
MA2008874Medicaid
659084OtherFIRST HEALTH
042472266OtherTHREE RIVERS
B47145OtherBLUE CARE ELECT