Provider Demographics
NPI:1669981221
Name:CENTER FOR ARTHRITIS AND OSTEOPOROSIS PC
Entity type:Organization
Organization Name:CENTER FOR ARTHRITIS AND OSTEOPOROSIS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSCIAN
Authorized Official - Prefix:
Authorized Official - First Name:HUMAIRA
Authorized Official - Middle Name:N
Authorized Official - Last Name:ADENWALLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-910-5556
Mailing Address - Street 1:3100 PRINCETON PIKE STE D
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-2300
Mailing Address - Country:US
Mailing Address - Phone:096-910-5556
Mailing Address - Fax:609-250-9124
Practice Address - Street 1:3100 PRINCETON PIKE STE D
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-2300
Practice Address - Country:US
Practice Address - Phone:609-910-5556
Practice Address - Fax:609-250-9124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-27
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09055600207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty