Reynolds, Matthew R

Reynolds, Matthew R is an individual health care provider with primary practice located at 41 Mall Rd Lahey Clinic, Burlington MA 01805-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Reynolds, Matthew R can be contacted via phone (781) 744-8000.

Contact Information

Primary practice address
41 Mall Rd Lahey Clinic Burlington MA 01805-0001
Phone: (781) 744-8000
Fax: (781) 744-5261
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 158187 Massachusetts
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 16134 New Hampshire
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 158187 Massachusetts

Profile Details

NPI number 1437172939
LBN Legal business name Reynolds, Matthew R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Mar 19th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437172939 NPPES
Massachusetts MEDICAID 110094176A

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