Healthcare Provider Details

I. General information

NPI: 1700097219
Provider Name (Legal Business Name): CENTER FOR RHEUMATIC DISEASES AND OSTEOPOROSIS P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2007
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 TAFT CT STE 175
ROCKVILLE MD
20850-5578
US

IV. Provider business mailing address

4 TAFT CT STE 175
ROCKVILLE MD
20850-5578
US

V. Phone/Fax

Practice location:
  • Phone: 301-230-5888
  • Fax: 301-230-2488
Mailing address:
  • Phone: 301-230-5888
  • Fax: 301-230-2488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberD0029196
License Number StateMD

VIII. Authorized Official

Name: DR. WILLIAM W MULLINS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 13-980-1815