Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 56895 | MA |
N | 207VG0400X | Gynecologist | 56895 | MI |
NPI | 1306810429 |
---|---|
Provider Name | Dr. Mitchell S. Rein |
First Address | Salem, MA 01970-2714 |
Second Address | Danvers, MA 01923-3759 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2006 |
Last Update Date | 17/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0000178 | MASSHEALTH NHP (01) | MA |
3020631 | (05) | MA |
5237 | HPHC (01) | MA |
74813 | (02) | MA |
865122 | AETNA/US (01) | MA |
B20457501 | CIGNA (01) | MA |
H06371 | BCBS (01) | MA |
REIN-731205 | TUFTS HEALTH PLAN (01) | MA |