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Individual

MR. ELIAS REICHEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
260 TREMONT STREET, BWD 10, BOSTON, MA 02116
(617) 636-1648
(617) 636-4866
Mailing address
BOX 450, 800 WASHINGTON STREET, BOSTON, MA 02111
(617) 636-1648
(617) 636-4866

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MA75902
MA
207WX0108X
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
Primary
75902
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
180016258
RAILROAD MEDICARE
MA
05
3095029
MA
Enumeration date
04/20/2006
Last updated
06/29/2017
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