Individual
JUDITH RECKNAGEL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
923 ROUTE 6A, YARMOUTHPORT, MA 02675
(508) 362-3188
(508) 362-8599
Mailing address
PO BOX 905, FALMOUTH, MA 02541
(508) 548-8989
(508) 548-5789
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
44588
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150223
—
MA
01
—
720759
TUFTS
—
01
—
80375
HARVARD PILGRIM
—
Enumeration date
04/17/2006
Last updated
07/08/2007
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