1609995638 NPI number — NORTH JERSEY CENTER FOR ARTHRITIS & OSTEOPOROSIS

Table of content: MISS LISA MARIE TUTONI P.T. (NPI 1831287622)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609995638 NPI number — NORTH JERSEY CENTER FOR ARTHRITIS & OSTEOPOROSIS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTH JERSEY CENTER FOR ARTHRITIS & OSTEOPOROSIS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1609995638
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/07/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
45 CAREY AVE
Provider Second Line Business Mailing Address:
SUITE 250
Provider Business Mailing Address City Name:
BUTLER
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07405-1443
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
973-283-2700
Provider Business Mailing Address Fax Number:
973-283-2707

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
45 CAREY AVE
Provider Second Line Business Practice Location Address:
SUITE 250
Provider Business Practice Location Address City Name:
BUTLER
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07405-1443
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-283-2700
Provider Business Practice Location Address Fax Number:
973-283-2707
Provider Enumeration Date:
03/29/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HAWRUK
Authorized Official First Name:
ELIZABETH
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
973-283-2700

Provider Taxonomy Codes

  • Taxonomy code: 174400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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