Individual
MARK ALAN REICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 WASHINGTON STREET, SUITE 240, NORWOOD, MA 02062-3441
(781) 769-4660
(781) 769-0371
Mailing address
825 WASHINGTON STREET, SUITE 240, NORWOOD, MA 02062-3441
(781) 769-4660
(781) 769-0371
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
41096
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0106623
—
MA
01
—
17006
HARVARD PILGRIM
MA
01
—
702195
TUFTS
MA
01
—
C18113
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
08/23/2005
Last updated
02/28/2008
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