Provider Demographics
NPI:1609995638
Name:NORTH JERSEY CENTER FOR ARTHRITIS & OSTEOPOROSIS
Entity Type:Organization
Organization Name:NORTH JERSEY CENTER FOR ARTHRITIS & OSTEOPOROSIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWRUK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-283-2700
Mailing Address - Street 1:45 CAREY AVE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:BUTLER
Mailing Address - State:NJ
Mailing Address - Zip Code:07405-1443
Mailing Address - Country:US
Mailing Address - Phone:973-283-2700
Mailing Address - Fax:973-283-2707
Practice Address - Street 1:45 CAREY AVE
Practice Address - Street 2:SUITE 250
Practice Address - City:BUTLER
Practice Address - State:NJ
Practice Address - Zip Code:07405-1443
Practice Address - Country:US
Practice Address - Phone:973-283-2700
Practice Address - Fax:973-283-2707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ002606Medicare PIN