MEDICARE: PAULA J REIS D.O.

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
1	207R00000X	Internal Medicine Physician	219760	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0033561	OTHER	MA	NEIGHBORHOOD HEALTH
2	469651	OTHER	MA	TUFTS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	AA17101	OTHER	MA	HARVARD PILGRIM
5	J27993	OTHER	MA	BLUE CROSS

General Provider Information

NPI Number	:	1730116229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULA J REIS D.O.

Provider Business Mailing Address
First Line	:	20 PATRIOT PL
Second Line	:
City	:	FOXBOROUGH
State	:	MA
Zip	:	02035-1375
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	20 PATRIOT PL
Second Line	:
City	:	FOXBOROUGH
State	:	MA
Zip	:	02035
Country	:	US
Telephone Number	:	508-718-4050
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	11/21/2019

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