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NPI Code Detail

MEDICARE: DR. JOHN JOSEPH REAP MD

MEDICARE: DR. JOHN JOSEPH REAP 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
1208000000XPediatrics PhysicianBR8431277MA

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 : 1376534081
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN JOSEPH REAP MD
Provider Business Mailing Address
First Line : 616 BOSTON POST RD
Second Line : POST ROAD PEDIATRICS, LLP
City : SUDBURY
State : MA
Zip : 01776-3376
Country : US
Telephone Number : 978-443-6005
Fax Number : 978-443-8429
Provider Business Practice Location Address
First Line : 616 BOSTON POST RD
Second Line : POST ROAD PEDIATRICS, LLP
City : SUDBURY
State : MA
Zip : 01776-3376
Country : US
Telephone Number : 978-443-6005
Fax Number : 978-443-8429
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2005
Last Update Date : 07/08/2007

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