Provider Demographics
NPI:1982702841
Name:ARTHRITIS & PAIN ASSOCIATES OF PRINCE GEORGES COUNTY PC
Entity Type:Organization
Organization Name:ARTHRITIS & PAIN ASSOCIATES OF PRINCE GEORGES COUNTY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:ADELSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-345-5600
Mailing Address - Street 1:7300 HANOVER DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2202
Mailing Address - Country:US
Mailing Address - Phone:301-345-5600
Mailing Address - Fax:301-345-3105
Practice Address - Street 1:7300 HANOVER DR
Practice Address - Street 2:SUITE 201
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2202
Practice Address - Country:US
Practice Address - Phone:301-345-5600
Practice Address - Fax:301-345-3105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD24234207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG00135Medicare ID - Type UnspecifiedGROUP MEDICARE NUMBER