MEDICARE: ATLANTIC COAST RHEUMATOLOGY, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	25MA58633800	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952350522
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLANTIC COAST RHEUMATOLOGY, P.C.

Provider Business Mailing Address
First Line	:	PO BOX 1244
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08754-1244
Country	:	US
Telephone Number	:	732-349-2795
Fax Number	:	732-349-2795

Provider Business Practice Location Address
First Line	:	442D COMMONS WAY
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08755-6429
Country	:	US
Telephone Number	:	732-505-3510
Fax Number	:	732-505-5308

Authorized Official
Title or Position	:	OWNER
Name	:	RAJAT DHAR
Credential	:	M.D.
Telephone Number	:	732-505-3510

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	11/16/2020

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Directions to “ATLANTIC COAST RHEUMATOLOGY, P.C. ” Practice Location

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