Individual
KIMIKO DOMOTO-REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15 PARKMAN ST, WACC 835, BOSTON, MA 02114-3117
(617) 726-1728
(617) 726-4101
Mailing address
15 PARKMAN ST, WACC 835, BOSTON, MA 02114-3117
(617) 726-1728
(617) 726-4101
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
240547
MA
Other
Enumeration date
04/04/2007
Last updated
12/29/2011
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