Individual
PAUL KIRKPATRICK REARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 642-6832
Mailing address
55 FRUIT ST, WANG 812, BOSTON, MA 02114-7154
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1016668
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2021
Last updated
04/16/2025
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