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General NPI Number Information
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NPI Number | 1821138520
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Entity Type | Organization
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Legal Business Name | RHEUMATOLOGY & ARTHRITIS ASSOC., PC
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 30 JACKSON RD SUITE D2
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City | MEDFORD
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State | NJ
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Zip | 08055-9283
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Country | US
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Telephone | 609-654-5100
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Fax | 609-654-5922
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Provider Business Mailing Address
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Address Line | 30 JACKSON RD SUITE D2
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City | MEDFORD
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State | NJ
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Zip | 08055-9283
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Country | US
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Telephone | 609-654-5100
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Fax | 609-654-5922
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD HYMOWITZ
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Credential | M.D.
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Telephone | 609-654-5100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 25MA03749200
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License Number State | NJ
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