Provider Demographics
NPI:1982009551
Name:HUMANE CENTER FOR ARTHRITIS AND RHEUMATISM
Entity Type:Organization
Organization Name:HUMANE CENTER FOR ARTHRITIS AND RHEUMATISM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WEN
Authorized Official - Middle Name:
Authorized Official - Last Name:XIONG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:551-206-9477
Mailing Address - Street 1:15 SPRUCE HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:GREEN BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:08812-1835
Mailing Address - Country:US
Mailing Address - Phone:908-688-1288
Mailing Address - Fax:908-688-1588
Practice Address - Street 1:2280 SPRINGFIELD AVE
Practice Address - Street 2:
Practice Address - City:VAUXHALL
Practice Address - State:NJ
Practice Address - Zip Code:07088-1123
Practice Address - Country:US
Practice Address - Phone:908-688-1288
Practice Address - Fax:908-688-1588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-24
Last Update Date:2020-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08711600207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty