Provider Demographics
NPI:1033311840
Name:TRI-COUNTY RHEUMATOLOGY, LLC
Entity Type:Organization
Organization Name:TRI-COUNTY RHEUMATOLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DEIRDRE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:REID-FIGHERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:267-571-2151
Mailing Address - Street 1:1650 HUNTINGDON PIKE
Mailing Address - Street 2:SUITE 352
Mailing Address - City:MEADOWBROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19046-8004
Mailing Address - Country:US
Mailing Address - Phone:267-571-2151
Mailing Address - Fax:215-379-8387
Practice Address - Street 1:1650 HUNTINGDON PIKE
Practice Address - Street 2:SUITE 352
Practice Address - City:MEADOWBROOK
Practice Address - State:PA
Practice Address - Zip Code:19046-8004
Practice Address - Country:US
Practice Address - Phone:267-571-2151
Practice Address - Fax:215-379-8387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD428826207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAI63583Medicare UPIN
PA112773Medicare PIN