Individual
JENNIFER ANN REIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-8630
(774) 441-6710
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
223107
MA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
223107
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-04959
EVERCARE SENIOR CARE OP
MA
01
—
043024278
FIRST HEALTH/HCVM
MA
01
—
115260
FALLON COMMUNITY HEALTH
MA
01
—
1160226
AETNA
MA
01
—
494604
TUFTS HEALTH PLAN
MA
01
—
93380
CHILDREN'S MEDICAL SEC
MA
01
—
96589101
NETWORK HEALTH PLAN
MA
01
—
AA55643
HARVARD PILGRIM
MA
Enumeration date
07/28/2006
Last updated
12/15/2020
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