Provider Demographics
NPI:1487418539
Name:REED, ANTHONY MAURICE JR
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:MAURICE
Last Name:REED
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4398 EAGLE CT
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20603-5509
Mailing Address - Country:US
Mailing Address - Phone:202-492-2577
Mailing Address - Fax:
Practice Address - Street 1:4398 EAGLE CT
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20603-5509
Practice Address - Country:US
Practice Address - Phone:202-492-2577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-09
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty