Provider Demographics
NPI:1609167733
Name:INTEGRATIVE RHEUMATOLOGY ASSOCIATES PC
Entity type:Organization
Organization Name:INTEGRATIVE RHEUMATOLOGY ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALY
Authorized Official - Middle Name:
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-662-5212
Mailing Address - Street 1:312 APPLEGARTH RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:MONROE TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-5347
Mailing Address - Country:US
Mailing Address - Phone:609-662-5212
Mailing Address - Fax:609-655-3639
Practice Address - Street 1:312 APPLEGARTH RD
Practice Address - Street 2:SUITE 110
Practice Address - City:MONROE TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08831-5347
Practice Address - Country:US
Practice Address - Phone:609-662-5212
Practice Address - Fax:609-655-3639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-24
Last Update Date:2011-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07668800174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty