Provider Demographics
NPI:1033184403
Name:REICHARD,CHABOT&MESSINEO ,M.D.,P.C.
Entity Type:Organization
Organization Name:REICHARD,CHABOT&MESSINEO ,M.D.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:REICHARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-769-4660
Mailing Address - Street 1:825 WASHINGTON ST
Mailing Address - Street 2:SUITE 240
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-3441
Mailing Address - Country:US
Mailing Address - Phone:781-769-4660
Mailing Address - Fax:781-769-0371
Practice Address - Street 1:825 WASHINGTON ST
Practice Address - Street 2:SUITE 240
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3441
Practice Address - Country:US
Practice Address - Phone:781-769-4660
Practice Address - Fax:781-769-0371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-21
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MACE9407OtherRR MEDICARE
MAM16281OtherBLUE CROSS
MA1831230341OtherNPI
MA9746889Medicaid
MA9746889Medicaid
MAM20014Medicare PIN