| Organization Name: | RAD RHEUMATOLOGY & AUTOIMMUNE DISORDERS LLC |
| NPI Number: | 1073660015 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALEKSANDER FEOKTISTOV (OWNER) |
| Mailing Address: | 851 Main St Suite 14 S Weymouth |
| State: | MA US |
| Postal Code: | 021901612 |
| Phone Number: | 5088222874 |
| Fax Number: | 5088800450 |
| NPI Enumeration Date: | 01/04/2007 |
| NPI Last Update Date: | 02/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RR0500X |
| License Number: | 211533 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Rheumatology |
| Taxonomy Definition: | An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |