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Contact Information

JUDITH RECKNAGEL, MD
923 ROUTE 6A
YARMOUTH PORT, MA02675
 Phone: 508-362-3188
 Fax: 508-362-8599
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JUDITH RECKNAGEL · (Female)

NPI # 1134183957
Status Active
Credentials MD
Entity Individual
Enumeration date 04/17/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • MA License # 44588
  • MA Medicaid 0150223
  • Other 80375 HARVARD PILGRIM
  • Other 720759 TUFTS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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