| Organization Name: | RAD RHEUMATOLOGY AND AUTOIMMUNE DISORDERS |
| NPI Number: | 1114281102 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARIANNA FEOKTISTOV (OFFICE MANAGER) |
| Mailing Address: | 675 Paramount Dr Suite 205 Raynham |
| State: | MA US |
| Postal Code: | 027675416 |
| Phone Number: | 5088222874 |
| Fax Number: | 5088800540 |
| NPI Enumeration Date: | 06/25/2012 |
| NPI Last Update Date: | 06/25/2012 |
| 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. |