Healthcare Provider Details

I. General information

NPI: 1255344594
Provider Name (Legal Business Name): ARTHRITIS & RHEUMATOLOGY ASSOCIATES OF SOUTH JERSEY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 02/08/2024
Certification Date: 02/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2848 S DELSEA DR SUITE 2C
VINELAND NJ
08360
US

IV. Provider business mailing address

P.O. BOX 2697
VINELAND NJ
08362-2697
US

V. Phone/Fax

Practice location:
  • Phone: 856-794-9090
  • Fax: 856-794-5658
Mailing address:
  • Phone: 856-794-9090
  • Fax: 856-794-5658

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number25MA05934500
License Number StateNJ

VIII. Authorized Official

Name: STEPHEN SOLOWAY
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 856-794-1003