Organization
RAD RHEUMATOLOGY & AUTOIMMUNE DISORDERS LLC
Active
Other names
South Shore Rheumatology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEKSANDER FEOKTISTOV M.D. (OWNER)
(508) 822-2874
Entity
Organization
Contact information
Practice address
851 MAIN ST, SUITE 14, S WEYMOUTH, MA 02190-1612
(508) 822-2874
(508) 880-0450
Mailing address
851 MAIN ST, SUITE 14, S WEYMOUTH, MA 02190-1612
(508) 822-2874
(508) 880-0450
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
211533
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9781510
—
MA
Enumeration date
01/04/2007
Last updated
02/06/2014
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