Reynolds, Radford P

Reynolds, Radford P is an individual health care provider with primary practice located at 100 Rosebrook Way 2Nd Fl, Wareham MA 02571-2097. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Reynolds, Radford P can be contacted via phone (508) 273-4950.

Contact Information

Primary practice address
100 Rosebrook Way 2Nd Fl Wareham MA 02571-2097
Fax: (508) 273-4951
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 80184 Massachusetts

Profile Details

NPI number 1477655231
LBN Legal business name Reynolds, Radford P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Feb 17th, 2016 - about 8 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 1477655231 NPPES
Massachusetts MEDICAID 110056464A

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