Provider Demographics
NPI:1255344594
Name:ARTHRITIS & RHEUMATOLOGY ASSOCIATES OF SOUTH JERSEY PC
Entity type:Organization
Organization Name:ARTHRITIS & RHEUMATOLOGY ASSOCIATES OF SOUTH JERSEY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLOWAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:856-794-1003
Mailing Address - Street 1:P.O. BOX 2697
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08362-2697
Mailing Address - Country:US
Mailing Address - Phone:856-794-9090
Mailing Address - Fax:856-794-5658
Practice Address - Street 1:2848 S DELSEA DR
Practice Address - Street 2:SUITE 2C
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360
Practice Address - Country:US
Practice Address - Phone:856-794-9090
Practice Address - Fax:856-794-5658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05934500207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0107328Medicaid
NJE97403Medicare UPIN
NJ043722Medicare PIN