Dr. Owen D Reynolds, MD
Dermatology in North Andover, Massachusetts
1407845712- Practice location
- 198 Massachusetts Ave Ste 105, North Andover, MA 01845-4143
- Phone
- 978-691-5690
- Fax
- 978-691-5693
- Last updated
- December 3, 2018
Owen David Reynolds is a Dermatology based in North Andover, MA. Owen David Reynolds practices in North Andover, MA and has the professional credentials of MD. The NPI Number for Owen David Reynolds is 1407845712 and holds a License No. 74177 (MA). The current practice location address for Owen David Reynolds is 198 Massachusetts Ave Ste 105, North Andover, MA 01845-4143 and can be reached out via phone at 978-691-5690 and via fax at 978-691-5693.
Provider Profile Details
- NPI Number
- 1407845712
- Provider Name
- Owen David Reynolds
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 198 Massachusetts Ave Ste 105, North Andover, MA 01845-4143
- Phone Number
- 978-691-5690
- Fax Number
- 978-691-5693
- Primary Taxonomy
- Dermatology · 207N00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 19, 2005
- Last Update Date
- December 3, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 198 Massachusetts Ave Ste 105
North Andover, MA 01845-4143 - City
- North Andover
- State
- Massachusetts
- Zip
- 01845-4143
- Phone Number
- 978-691-5690
- Fax Number
- 978-691-5693
Provider Business Mailing Address Details
- Address
- 280 Merrimack St Ste 311
Lawrence, MA 01843-1779 - City
- Lawrence
- State
- MA
- Zip
- 01843-1779
- Phone Number
- 978-691-5690
- Fax Number
- 978-691-5693
License Information
- License Number (1)
- 74177
- License State (1)
- MA
- Taxonomy (1)
- Dermatology, Procedural Dermatology · 207NS0135X
- License Number (2)
- 74177
- License State (2)
- MA
- Taxonomy (2)
- Dermatology · 207N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dermatology providers near North Andover, MA
View all Dermatology providers in North Andover →Frequently Asked Questions
What is the NPI number of Dr. Owen D Reynolds, MD?
The NPI number of Dr. Owen D Reynolds, MD is 1407845712. It was assigned on October 19, 2005 and is currently active in the NPPES registry.
What is the specialty of Dr. Owen D Reynolds, MD?
Dr. Owen D Reynolds, MD is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in MA under license number 74177.
Where does Dr. Owen D Reynolds, MD practice?
The practice location is 198 Massachusetts Ave Ste 105, North Andover, MA 01845-4143. The office can be reached at 978-691-5690 (phone) or 978-691-5693 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407845712 directly on the NPPES registry website.