Provider Demographics
NPI:1881648384
Name:ARTHRITIS AND RHEUMATIC DISEASE CONSULTANTS, PC
Entity Type:Organization
Organization Name:ARTHRITIS AND RHEUMATIC DISEASE CONSULTANTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECERTARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:BIANCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-242-1224
Mailing Address - Street 1:8815 GERMANTOWN AVE
Mailing Address - Street 2:SUITE 24
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19118-2722
Mailing Address - Country:US
Mailing Address - Phone:215-242-1224
Mailing Address - Fax:215-242-8183
Practice Address - Street 1:8815 GERMANTOWN AVE
Practice Address - Street 2:SUITE 24
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19118-2722
Practice Address - Country:US
Practice Address - Phone:215-242-1224
Practice Address - Fax:215-242-8183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA165062Medicare ID - Type UnspecifiedGROUP PROVIDER NUMBER