Organization
RHEUMATIC DISEASE ASSOCIATES,LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KESHA NICOLE HARRIS (CREDENTIALING MANAGER)
(215) 657-6776
Entity
Organization
Contact information
Practice address
2360 MARYLAND ROAD, WILLOW GROVE, PA 19090
(215) 657-6776
(267) 913-5961
Mailing address
2360 MARYLAND RD, WILLOW GROVE, PA 19090-1709
(215) 657-6776
(267) 913-5961
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD027056E
PA
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H79286
MEDICARE UPIN
PA
Enumeration date
12/29/2005
Last updated
02/05/2026
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