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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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