Provider Demographics
NPI:1265484794
Name:REED, PEILIN CHEN (MD)
Entity Type:Individual
Prefix:
First Name:PEILIN
Middle Name:CHEN
Last Name:REED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 BENJAMIN LANDING LN
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-3217
Mailing Address - Country:US
Mailing Address - Phone:508-427-3106
Mailing Address - Fax:508-427-2538
Practice Address - Street 1:235 N PEARL ST
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-1794
Practice Address - Country:US
Practice Address - Phone:508-427-3106
Practice Address - Fax:508-427-2538
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2205052085R0202X
FLME1401082085R0202X
CAC537552085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2042801Medicaid
I07532Medicare UPIN
MA2042801Medicaid