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NPI Code Detail

MEDICARE: MR. ELIAS REICHEL MD

MEDICARE:  MR. ELIAS  REICHEL  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207WX0108XUveitis and Ocular Inflammatory Disease (Ophthalmology) Physician75902MA
2207W00000XOphthalmology PhysicianMA75902MA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2180016258OTHERMARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053376939
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ELIAS REICHEL MD
Provider Business Mailing Address
First Line : BOX 450
Second Line : 800 WASHINGTON STREET
City : BOSTON
State : MA
Zip : 02111
Country : US
Telephone Number : 617-636-1648
Fax Number : 617-636-4866
Provider Business Practice Location Address
First Line : 260 TREMONT STREET
Second Line : BWD 10
City : BOSTON
State : MA
Zip : 02116
Country : US
Telephone Number : 617-636-1648
Fax Number : 617-636-4866
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2006
Last Update Date : 06/29/2017

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Directions to “ MR. ELIAS REICHEL MD” Practice Location

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