# PRIME ARTHRITIS AND RHEUMATOLOGY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265266530
- **Authorized official:** MOWYAD KHALID (OWNER)
- **Authorized official phone:** (973) 547-3514

## Contact information

- **Practice address:** 526 BLOOMFIELD AVE STE 203, CALDWELL, NJ 07006-5525
- **Practice address phone:** (973) 547-3514
- **Practice address fax:** (973) 228-2104
- **Mailing address:** 526 BLOOMFIELD AVE STE 203, CALDWELL, NJ 07006-5525
- **Mailing address phone:** (973) 547-3514
- **Mailing address fax:** (973) 228-2104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RR0500X | Rheumatology Physician | — | NULL | — |
| 207RR0500X | Rheumatology Physician | — | — | — |

## Other

- **Enumeration date:** 08/29/2024
- **Last updated:** 12/30/2024