| Prime Arthritis And Rheumatology Center Llc | |
|
526 Bloomfield Ave Ste 203 Caldwell NJ 07006-5525 | |
| (973) 547-3514 | |
| (973) 228-2104 |
| Full Name | Prime Arthritis And Rheumatology Center Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 526 Bloomfield Ave Ste 203, Caldwell, New Jersey |
| Authorized Official Name and Position | Mowyad Khalid (OWNER) |
| Authorized Official Contact | 9735473514 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Arthritis And Rheumatology Center Llc 526 Bloomfield Ave Ste 203 Caldwell NJ 07006-5525 Ph: (973) 547-3514 | Prime Arthritis And Rheumatology Center Llc 526 Bloomfield Ave Ste 203 Caldwell NJ 07006-5525 Ph: (973) 547-3514 |
| NPI Number | 1265266530 |
|---|---|
| Provider Enumeration Date | 08/29/2024 |
| Last Update Date | 12/30/2024 |
| Medicare PECOS PAC ID | 1456882976 |
|---|---|
| Medicare Enrollment ID | O20241008000766 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265266530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RR0500X | Internal Medicine - Rheumatology | (* (Not Available)) | Secondary |
| Provider Name | Mowyad Khalid |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1023540572 PECOS PAC ID: 5294002614 Enrollment ID: I20230825001436 |
| Provider Name | Mohammed Hamid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063942589 PECOS PAC ID: 4486064490 Enrollment ID: I20241008000933 |
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