Individual
DR. ELIZABETH T ARSENIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
54982
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043119812
TAX I.D.
MA
01
—
1053503912
MEDICARE GROUP NPI
MA
01
—
1457444226
MEDICARE NPI
MA
05
—
6199356
—
MA
01
—
S400158316
MEDICARE PTAN
MA
Enumeration date
10/02/2006
Last updated
04/28/2015
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