Reidy, Jennifer Ann

Reidy, Jennifer Ann is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655-0002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Reidy, Jennifer Ann can be contacted via phone (508) 334-8630.

Contact Information

Primary practice address
55 Lake Ave N Worcester MA 01655-0002
Phone: (508) 334-8630
Fax: (774) 441-6710
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 223107 Massachusetts
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 223107 Massachusetts

Profile Details

NPI number 1962416628
LBN Legal business name Reidy, Jennifer Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Dec 15th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962416628 NPPES
Massachusetts Other 043024278 FIRST HEALTH/HCVM
Massachusetts Other 043024278 FIRST HEALTH/HCVM
Massachusetts Other 043024278 FIRST HEALTH/HCVM
Massachusetts Other 115260 FIRST HEALTH/HCVM
Massachusetts Other 96589101 FIRST HEALTH/HCVM
Massachusetts Other 043024278 FIRST HEALTH/HCVM
Massachusetts Other 1160226 FIRST HEALTH/HCVM
Massachusetts Other 494604 FIRST HEALTH/HCVM
Massachusetts Other 93380 FIRST HEALTH/HCVM
Massachusetts Other AA55643 FIRST HEALTH/HCVM
Massachusetts Other 043024278 FIRST HEALTH/HCVM
Massachusetts Other 01-04959 FIRST HEALTH/HCVM

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