Healthcare Provider Details
I. General information
NPI: 1235193012
Provider Name (Legal Business Name): METROWEST RHEUMATOLOGY, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/17/2006
Last Update Date: 07/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
61 LINCOLN ST SUITE 203
FRAMINGHAM MA
01702-8264
US
IV. Provider business mailing address
61 LINCOLN ST SUITE 203
FRAMINGHAM MA
01702-8264
US
V. Phone/Fax
- Phone: 508-879-7737
- Fax: 508-879-1503
- Phone: 508-879-7737
- Fax: 508-879-1503
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RR0500X |
| Taxonomy | Rheumatology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
EILEEN
LYNN
WINSTON
Title or Position: PRESIDENT
Credential: MD
Phone: 508-879-7734