Provider Demographics
NPI:1265417646
Name:BOSWELL, REID THOMAS (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:REID
Middle Name:THOMAS
Last Name:BOSWELL
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Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:777 CONCORD AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-1056
Mailing Address - Country:US
Mailing Address - Phone:617-354-0546
Mailing Address - Fax:617-868-4497
Practice Address - Street 1:777 CONCORD AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-1056
Practice Address - Country:US
Practice Address - Phone:617-354-0546
Practice Address - Fax:617-868-4497
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA560772083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine