Provider Demographics
NPI:1376534081
Name:REAP, JOHN JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:JOSEPH
Last Name:REAP
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:616 BOSTON POST RD
Mailing Address - Street 2:POST ROAD PEDIATRICS, LLP
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-3376
Mailing Address - Country:US
Mailing Address - Phone:978-443-6005
Mailing Address - Fax:978-443-8429
Practice Address - Street 1:616 BOSTON POST RD
Practice Address - Street 2:POST ROAD PEDIATRICS, LLP
Practice Address - City:SUDBURY
Practice Address - State:MA
Practice Address - Zip Code:01776-3376
Practice Address - Country:US
Practice Address - Phone:978-443-6005
Practice Address - Fax:978-443-8429
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MABR8431277208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2059860Medicaid
MA2059860Medicaid
MAA36779Medicare ID - Type Unspecified