=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386754588
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RHEUMATOLOGY AND INTERNAL MEDICINE ASSOCIATES, PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/30/2006
-----------------------------------------------------
Last Update Date | 09/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 64 CONCORD STREET SUITE C
-----------------------------------------------------
City | WILMINGTON
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01887-2179
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 978-664-1606
-----------------------------------------------------
Fax | 978-664-5316
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 64 CONCORD STREET SUITE C
-----------------------------------------------------
City | WILMINGTON
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01887-2179
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 978-664-1606
-----------------------------------------------------
Fax | 978-664-5316
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHYSICIAN OWNER
-----------------------------------------------------
Name | DR. SHARON A STOTSKY
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 978-664-1606
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RR0500X
-----------------------------------------------------
Taxonomy Name | Rheumatology Physician
-----------------------------------------------------
License Number | 52127
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------