Healthcare Provider Details
I. General information
NPI: 1164587283
Provider Name (Legal Business Name): MIDSTATE RHEUMATOLOGY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/27/2006
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
900 W MAIN ST STE 5
FREEHOLD NJ
07728-2523
US
IV. Provider business mailing address
PO BOX 7378
FREEHOLD NJ
07728-7378
US
V. Phone/Fax
- Phone: 732-431-4335
- Fax: 732-431-4771
- Phone: 732-431-4335
- Fax: 732-431-4771
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RR0500X |
| Taxonomy | Rheumatology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SAWSAN
NAJMEY
Title or Position: PHYSICIAN
Credential: MD
Phone: 732-431-4335