Provider Demographics
NPI:1356664122
Name:HJD RHEUMATOLOGY ASSOCIATES
Entity Type:Organization
Organization Name:HJD RHEUMATOLOGY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:GOOCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-598-6752
Mailing Address - Street 1:305 2ND AVE STE 16
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-2747
Mailing Address - Country:US
Mailing Address - Phone:212-598-6752
Mailing Address - Fax:212-598-6480
Practice Address - Street 1:305 2ND AVE STE 16
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-2747
Practice Address - Country:US
Practice Address - Phone:212-598-6752
Practice Address - Fax:212-598-6480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-09
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty