Provider Demographics
NPI:1053448308
Name:ARTHRITIS & RHEUMATOLOGY
Entity Type:Organization
Organization Name:ARTHRITIS & RHEUMATOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:S
Authorized Official - Last Name:HUPPERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-762-7800
Mailing Address - Street 1:245 N BROAD STREET
Mailing Address - Street 2:STE 403
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107
Mailing Address - Country:US
Mailing Address - Phone:215-762-7800
Mailing Address - Fax:215-567-8828
Practice Address - Street 1:245 N BROAD STREET
Practice Address - Street 2:STE 403
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107
Practice Address - Country:US
Practice Address - Phone:215-762-7800
Practice Address - Fax:215-567-8828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD025827E207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA07082460Medicaid
PA07082460Medicaid
PA065613Medicare ID - Type Unspecified