Provider Demographics
NPI:1467776138
Name:OSTEOPOROSIS & OSTEOARTHRITIS CENTER PC
Entity Type:Organization
Organization Name:OSTEOPOROSIS & OSTEOARTHRITIS CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:ALBERT
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610215-300-1337
Mailing Address - Street 1:132 MAHOGANY WAY
Mailing Address - Street 2:
Mailing Address - City:UPPER GWYNEDD
Mailing Address - State:PA
Mailing Address - Zip Code:19446-6084
Mailing Address - Country:US
Mailing Address - Phone:215-300-1337
Mailing Address - Fax:
Practice Address - Street 1:132 MAHOGANY WAY
Practice Address - Street 2:
Practice Address - City:UPPER GWYNEDD
Practice Address - State:PA
Practice Address - Zip Code:19446-6084
Practice Address - Country:US
Practice Address - Phone:215-300-1337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-24
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD028324L207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1912933805OtherNPI
1912933805OtherNPI