Healthcare Provider Details

I. General information

NPI: 1205883089
Provider Name (Legal Business Name): ORLEANS MEDICAL CENTER, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 08/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 MAIN ST
ORLEANS MA
02653-3428
US

IV. Provider business mailing address

204 MAIN ST
ORLEANS MA
02653-3428
US

V. Phone/Fax

Practice location:
  • Phone: 508-255-8825
  • Fax: 508-240-3117
Mailing address:
  • Phone: 508-255-8825
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: TIMOTHY C REED
Title or Position: PRESIDENT
Credential: MD
Phone: 508-255-8825