Provider Demographics
NPI:1477123529
Name:SOUTHEAST RHEUMATOLOGY LLC
Entity type:Organization
Organization Name:SOUTHEAST RHEUMATOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SYEDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAYEED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-663-1351
Mailing Address - Street 1:5 PIONEER CIR
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:MA
Mailing Address - Zip Code:02067-2724
Mailing Address - Country:US
Mailing Address - Phone:508-828-4511
Mailing Address - Fax:
Practice Address - Street 1:72 WASHINGTON ST STE 1200
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-2470
Practice Address - Country:US
Practice Address - Phone:508-828-4511
Practice Address - Fax:508-828-4512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-30
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty