Healthcare Provider Details

I. General information

NPI: 1528159407
Provider Name (Legal Business Name): JAVED RHEUMATOLOGY ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

537 STANTON CHRISTIANA RD SUITE 212
NEWARK DE
19713-2146
US

IV. Provider business mailing address

4923 OGLETOWN STANTON RD SUITE 220
NEWARK DE
19713-2081
US

V. Phone/Fax

Practice location:
  • Phone: 302-633-9033
  • Fax: 302-633-9032
Mailing address:
  • Phone: 302-633-9033
  • Fax: 302-633-9032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberC10005112
License Number StateDE

VIII. Authorized Official

Name: DR. SHEERIN JAVED
Title or Position: CEO/RHEUMATOLOGIST
Credential: M.D.
Phone: 302-633-9033