Organization
JUDITH RECKNAGEL MD
Active
Organization
JUDITH RECKNAGEL MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA SOUZA (BILLING AGENCY CEO)
(508) 548-8989
Entity
Organization
Contact information
Practice address
923 MAIN ST, ROUTE 6, YARMOUTH PORT, MA 02675-2159
(508) 362-3188
Mailing address
PO BOX 905, FALMOUTH, MA 02541-0905
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
44588
MA
Other
Enumeration date
10/18/2007
Last updated
10/18/2007
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