Individual
REYNOLD J DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 COMMERCE DR, NORTHBRIDGE, MA 01534-1415
(508) 234-6311
(508) 634-4215
Mailing address
9 INDUSTRIAL RD, SUITE 5, MILFORD, MA 01757-3588
(508) 473-1480
(508) 473-1210
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
54988
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3001130
—
MA
01
—
J04872
BLUE CROSS BLUE SHIELD
MA
Enumeration date
07/12/2006
Last updated
12/12/2014
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