Individual
DR. EDWARD J. REARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 CONGRESS ST, SUITE 2B, QUINCY, MA 02169-0908
(617) 774-1717
Mailing address
500 CONGRESS ST STE 2B, QUINCY, MA 02169-0960
(617) 774-1717
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
36535
MA
Other
Enumeration date
10/31/2005
Last updated
03/12/2014
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