Provider Demographics
NPI:1609272376
Name:TODER RHEUMATOLOGY & OSTEOPOROSIS CENTER, P.C.
Entity Type:Organization
Organization Name:TODER RHEUMATOLOGY & OSTEOPOROSIS CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KILEY
Authorized Official - Middle Name:DRU
Authorized Official - Last Name:TODER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-421-6011
Mailing Address - Street 1:1524 ATWOOD AVE
Mailing Address - Street 2:SUITE 333
Mailing Address - City:JOHNSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02919-3228
Mailing Address - Country:US
Mailing Address - Phone:401-421-6011
Mailing Address - Fax:401-421-9088
Practice Address - Street 1:1524 ATWOOD AVE
Practice Address - Street 2:SUITE 333
Practice Address - City:JOHNSTON
Practice Address - State:RI
Practice Address - Zip Code:02919-3228
Practice Address - Country:US
Practice Address - Phone:401-421-6011
Practice Address - Fax:401-421-9088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-07
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty