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Contact Information

MARY REEDY
17 UNIVERSITY AVE
PROVIDENCE, RI02906-4121
 Phone: 775-250-6885
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MARY REEDY · (Female)

NPI Number 1023647534
Status Active
Credentials
Entity Individual
Enumeration date 04/06/2020
Last updated 02/10/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • RI License # PA01295
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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