Provider Demographics
NPI:1487979514
Name:REYES, MAGDALENA (MD)
Entity type:Individual
Prefix:
First Name:MAGDALENA
Middle Name:
Last Name:REYES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1000 GREAT PLAIN AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-2560
Mailing Address - Country:US
Mailing Address - Phone:781-474-0044
Mailing Address - Fax:781-577-9377
Practice Address - Street 1:1000 GREAT PLAIN AVE STE 3
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02492-2560
Practice Address - Country:US
Practice Address - Phone:781-474-0044
Practice Address - Fax:781-577-9377
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-31
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2665442084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry