Provider Demographics
NPI:1669719209
Name:RHEUMATOLOGY ASSOCIATES, PA
Entity type:Organization
Organization Name:RHEUMATOLOGY ASSOCIATES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:WIENER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-841-9002
Mailing Address - Street 1:5711 SIX FORKS RD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-3890
Mailing Address - Country:US
Mailing Address - Phone:919-841-9002
Mailing Address - Fax:919-841-9954
Practice Address - Street 1:5711 SIX FORKS RD
Practice Address - Street 2:SUITE 207
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-3890
Practice Address - Country:US
Practice Address - Phone:919-841-9002
Practice Address - Fax:919-841-9954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-15
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty