Provider Demographics
NPI:1700097219
Name:CENTER FOR RHEUMATIC DISEASES AND OSTEOPOROSIS P.A.
Entity Type:Organization
Organization Name:CENTER FOR RHEUMATIC DISEASES AND OSTEOPOROSIS P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:W
Authorized Official - Last Name:MULLINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-230-5888
Mailing Address - Street 1:10215 FERNWOOD RD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-1106
Mailing Address - Country:US
Mailing Address - Phone:301-493-2500
Mailing Address - Fax:301-493-7840
Practice Address - Street 1:6001 MONTROSE RD STE 702
Practice Address - Street 2:
Practice Address - City:NORTH BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20852-4873
Practice Address - Country:US
Practice Address - Phone:301-230-5888
Practice Address - Fax:301-230-2488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0029196207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD409896Medicare PIN