Provider Demographics
NPI:1427042126
Name:ARTHRITIS AND OSTEOPOROSIS CENTER OF RICHMOND PLLC
Entity Type:Organization
Organization Name:ARTHRITIS AND OSTEOPOROSIS CENTER OF RICHMOND PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN, SOLE-MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:GLENN
Authorized Official - Last Name:STERN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:804-217-9601
Mailing Address - Street 1:3850 GASKINS RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23233-1447
Mailing Address - Country:US
Mailing Address - Phone:804-217-9601
Mailing Address - Fax:804-217-9602
Practice Address - Street 1:3850 GASKINS RD
Practice Address - Street 2:SUITE 110
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23233-1447
Practice Address - Country:US
Practice Address - Phone:804-217-9601
Practice Address - Fax:804-217-9602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101058092207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA138633OtherANTHEM BC-BS
C09117Medicare ID - Type UnspecifiedGROUP NUMBER