Individual
DR. PAUL RE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
54 BAKER AVENUE EXT, SUITE 200, CONCORD, MA 01742-2137
(978) 369-5391
(978) 369-7661
Mailing address
54 BAKER AVENUE EXT, SUITE 200, CONCORD, MA 01742-2137
(978) 369-5391
(978) 369-7661
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
513223
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200034530
RAILROAD MEDICARE
MA
Enumeration date
02/28/2006
Last updated
06/27/2013
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