Individual
JASON E REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
53 MARION RD, SUITE ONE, WAREHAM, MA 02571
(508) 295-8622
(508) 295-4909
Mailing address
53 MARION ROAD, SUITE ONE, WAREHAM, MA 02571
(508) 295-8622
(508) 295-4909
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
213696
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2000962
—
MA
Enumeration date
09/06/2006
Last updated
07/08/2007
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