Healthcare Provider Details

I. General information

NPI: 1194492223
Provider Name (Legal Business Name): RHEUMATOLOGY SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2021
Last Update Date: 08/26/2021
Certification Date: 08/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

902 N MARKET ST APT 1107
WILMINGTON DE
19801-3075
US

IV. Provider business mailing address

902 N MARKET ST APT 1107
WILMINGTON DE
19801-3075
US

V. Phone/Fax

Practice location:
  • Phone: 302-307-6074
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: MARYAH MANSOOR
Title or Position: MD
Credential: MD
Phone: 302-307-6074