Organization
KENNETH M REED MD PC
Active
Other names
KENNETH M REED MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH MARK REED MD (OWNER)
(617) 472-6764
Entity
Organization
Contact information
Practice address
500 CONGRESS ST, B1, QUINCY, MA 02169-0908
(617) 472-6764
Mailing address
500 CONGRESS ST, B1, QUINCY, MA 02169-0908
(617) 472-6764
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
49076
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295775732
INDIVIDUAL
MA
05
—
3013791
—
MA
Enumeration date
11/21/2006
Last updated
08/22/2020
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