Provider Demographics
NPI:1568418010
Name:ARTHRITIS MANAGEMENT, L.L.C
Entity Type:Organization
Organization Name:ARTHRITIS MANAGEMENT, L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR
Authorized Official - Prefix:DR
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOMBOZ
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:973-844-0049
Mailing Address - Street 1:5 FRANKLIN AVE
Mailing Address - Street 2:SUITE 403
Mailing Address - City:BELLEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07109-3532
Mailing Address - Country:US
Mailing Address - Phone:973-844-0049
Mailing Address - Fax:973-751-9955
Practice Address - Street 1:5 FRANKLIN AVE
Practice Address - Street 2:SUITE 403
Practice Address - City:BELLEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07109-3532
Practice Address - Country:US
Practice Address - Phone:973-844-0049
Practice Address - Fax:973-751-9955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2011-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA65810174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G79322Medicare UPIN