Healthcare Provider Details

I. General information

NPI: 1841238524
Provider Name (Legal Business Name): ARTHRITIS & RHEUMATIC DISEASE ASSOC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2309 E EVESHAM RD SUITE 101
VOORHEES NJ
08043-1559
US

IV. Provider business mailing address

2309 E EVESHAM RD SUITE 101
VOORHEES NJ
08043-1559
US

V. Phone/Fax

Practice location:
  • Phone: 856-424-5005
  • Fax: 856-424-4716
Mailing address:
  • Phone: 856-424-5005
  • Fax: 856-424-4716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: BETTY GRIMMETT
Title or Position: ADMINISTRATOR
Credential:
Phone: 856-424-5005