Provider Demographics
NPI:1700823838
Name:ARTHRITIS GROUP PC
Entity Type:Organization
Organization Name:ARTHRITIS GROUP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:UDELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-725-7400
Mailing Address - Street 1:7908 BUSTLETON
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19152-3350
Mailing Address - Country:US
Mailing Address - Phone:215-725-7400
Mailing Address - Fax:215-725-5827
Practice Address - Street 1:7908 BUSTLETON
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19152-3350
Practice Address - Country:US
Practice Address - Phone:215-725-7400
Practice Address - Fax:215-725-5827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA651798Medicare PIN