Provider Demographics
NPI:1538116306
Name:REID, DENZIL M (MD)
Entity Type:Individual
Prefix:DR
First Name:DENZIL
Middle Name:M
Last Name:REID
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 369
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01086-0369
Mailing Address - Country:US
Mailing Address - Phone:413-509-1000
Mailing Address - Fax:413-509-1003
Practice Address - Street 1:115 W SILVER ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:WESTFIELD
Practice Address - State:MA
Practice Address - Zip Code:01085-3628
Practice Address - Country:US
Practice Address - Phone:413-572-5099
Practice Address - Fax:413-572-4151
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA207874207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0121908Medicaid
MA0121908Medicaid
MAA31565Medicare PIN
290013213Medicare PIN