Organization
RAD RHEUMATOLOGY AND AUTOIMMUNE DISORDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIANNA FEOKTISTOV (OFFICE MANAGER)
(508) 822-2874
Entity
Organization
Contact information
Practice address
675 PARAMOUNT DR, SUITE 205, RAYNHAM, MA 02767-5416
(508) 822-2874
(508) 880-0540
Mailing address
675 PARAMOUNT DR, SUITE 205, RAYNHAM, MA 02767-5416
(508) 822-2874
(508) 880-0540
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
06/25/2012
Last updated
06/25/2012
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