Provider Demographics
NPI:1376579409
Name:PLANET RHEUMATOLOGY,PC
Entity Type:Organization
Organization Name:PLANET RHEUMATOLOGY,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:J
Authorized Official - Last Name:MOLLOY
Authorized Official - Suffix:IV
Authorized Official - Credentials:MD
Authorized Official - Phone:508-746-5351
Mailing Address - Street 1:45 RESNIK RD
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-4896
Mailing Address - Country:US
Mailing Address - Phone:508-746-5351
Mailing Address - Fax:508-747-3299
Practice Address - Street 1:45 RESNIK RD
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-4844
Practice Address - Country:US
Practice Address - Phone:508-746-5351
Practice Address - Fax:508-747-3299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-23
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty