Provider Demographics
NPI:1841238524
Name:ARTHRITIS & RHEUMATIC DISEASE ASSOC.
Entity Type:Organization
Organization Name:ARTHRITIS & RHEUMATIC DISEASE ASSOC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIMMETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-424-5005
Mailing Address - Street 1:2309 E EVESHAM RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-1559
Mailing Address - Country:US
Mailing Address - Phone:856-424-5005
Mailing Address - Fax:856-424-4716
Practice Address - Street 1:2309 E EVESHAM RD
Practice Address - Street 2:SUITE 101
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-1559
Practice Address - Country:US
Practice Address - Phone:856-424-5005
Practice Address - Fax:856-424-4716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2781603Medicaid
NJ0000526369Medicare ID - Type Unspecified