Provider Demographics
NPI:1659635761
Name:GAREAU, REJEAN (MD)
Entity type:Individual
Prefix:DR
First Name:REJEAN
Middle Name:
Last Name:GAREAU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 BROOKLINE AVE
Mailing Address - Street 2:1204
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-3930
Mailing Address - Country:US
Mailing Address - Phone:617-775-6042
Mailing Address - Fax:
Practice Address - Street 1:150 BROOKLINE AVE
Practice Address - Street 2:1204
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-3930
Practice Address - Country:US
Practice Address - Phone:617-775-6042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-03
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251063207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology