Individual
GEORGE E REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 SPRINGFIELD RD, SUITE 1, WESTFIELD, MA 01085-1832
(413) 562-5173
(413) 562-1716
Mailing address
75 SPRINGFIELD RD, SUITE 1, WESTFIELD, MA 01085-1832
(413) 562-5173
(413) 562-1716
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33284
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2026066
—
MA
01
—
BXO756
PTAN
—
Enumeration date
05/15/2006
Last updated
05/26/2011
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