Provider Demographics
NPI:1386754588
Name:RHEUMATOLOGY AND INTERNAL MEDICINE ASSOCIATES, PC
Entity type:Organization
Organization Name:RHEUMATOLOGY AND INTERNAL MEDICINE ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:A
Authorized Official - Last Name:STOTSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:978-664-1606
Mailing Address - Street 1:64 CONCORD STREET
Mailing Address - Street 2:SUITE C
Mailing Address - City:WILMINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01887-2179
Mailing Address - Country:US
Mailing Address - Phone:978-664-1606
Mailing Address - Fax:978-664-5316
Practice Address - Street 1:64 CONCORD STREET
Practice Address - Street 2:SUITE C
Practice Address - City:WILMINGTON
Practice Address - State:MA
Practice Address - Zip Code:01887-2179
Practice Address - Country:US
Practice Address - Phone:978-664-1606
Practice Address - Fax:978-664-5316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA52127207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAM17286OtherBCBSMA GROUP
MA0019749OtherNEIGHBORHOOD HEALTH GROUP
MAG46291OtherNETWORK HEALTH
MA9705911Medicaid
MA685624OtherTUFTS GROUP
MA9705911Medicaid