Provider Demographics
NPI:1386787331
Name:ARTHRITIS & RHEUMATISM INSTITUTE, LLC
Entity type:Organization
Organization Name:ARTHRITIS & RHEUMATISM INSTITUTE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FU
Authorized Official - Middle Name:FLORA
Authorized Official - Last Name:BAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACR
Authorized Official - Phone:908-754-4900
Mailing Address - Street 1:PO BOX 320
Mailing Address - Street 2:
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-0320
Mailing Address - Country:US
Mailing Address - Phone:908-754-4900
Mailing Address - Fax:
Practice Address - Street 1:TORANCO OFFICE PARK
Practice Address - Street 2:2163 OAK TREE RD SUITE 103
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820
Practice Address - Country:US
Practice Address - Phone:908-754-4900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07425200207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ083673Medicare PIN