Individual
HARVEY A REBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
534 PROSPECT ST, FALL RIVER, MA 02720-5281
(508) 973-7766
(508) 973-7753
Mailing address
200 MILL RD, STE 180, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28451
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110035167A
—
MA
Enumeration date
07/10/2006
Last updated
02/17/2016
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