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General NPI Number Information
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NPI Number | 1487979514
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Entity Type | Individual
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Provider Name | MAGDALENA REYES MD
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Gender | Female
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Dates
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Enumeration Date | 03/31/2010
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Last Update Date | 04/26/2024
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Provider Practice Location Address
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Address Line | 1000 GREAT PLAIN AVE STE 3
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City | NEEDHAM
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State | MA
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Zip | 02492-2560
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Country | US
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Telephone | 781-474-0044
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Fax | 781-577-9377
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Provider Business Mailing Address
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Address Line | 1000 GREAT PLAIN AVE STE 3
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City | NEEDHAM
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State | MA
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Zip | 02492-2560
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Country | US
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Telephone | 781-474-0044
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Fax | 781-577-9377
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 266544
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License Number State | MA
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