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Individual

DENISE C. REARDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
541 MAIN ST, SUITE 400, SOUTH WEYMOUTH, MA 02190-1868
(781) 952-1200
(781) 340-1610
Mailing address
541 MAIN ST, SUITE 400, SOUTH WEYMOUTH, MA 02190-1868
(781) 952-1200
(781) 340-1610

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
153978
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NP0999
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/29/2005
Last updated
03/13/2014
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