Individual
BRIAN F REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-4625
(607) 547-3259
Mailing address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-4625
(607) 547-3259
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
175603
NY
207R00000X
Internal Medicine Physician
223839
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2114062
—
MA
01
—
494626
TUFTS
MA
01
—
AA60600
HPHC
MA
01
—
J29859
BCBS PROV #
MA
Enumeration date
05/16/2006
Last updated
07/18/2022
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