Dr. Owen David Reynolds
Dermatologist Procedural Dermatology
198 Massachusetts Ave Ste 105
North Andover
, Massachusetts 01845-4143
Dr. Owen David Reynolds
Dermatologist Procedural Dermatology
198 Massachusetts Ave Ste 105
North Andover
, Massachusetts 01845-4143
(978) 691-5693
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About
Features
Specialties
- Dermatologist
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Dr. Owen David Reynolds
- 280 Merrimack St Ste 311
- Lawrence, MA
- Zip : 01843-1779
- Fax : (978) 691-5693
- Phone : (978) 691-5690
Second Address
- Dr. Owen David Reynolds
- 198 Massachusetts Ave Ste 105
- North Andover, MA
- Zip : 01845-4143
- Fax : (978) 691-5693
- Phone : (978) 691-5690
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 74177 | MA |
| N | 207NS0135X | Procedural Dermatology | 74177 | MA |
National Provider Identifier
| NPI | 1407845712 |
|---|---|
| Provider Name | Dr. Owen David Reynolds |
| First Address | Lawrence, MA 01843-1779 |
| Second Address | North Andover, MA 01845-4143 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/10/2005 |
| Last Update Date | 03/12/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3102769 | (05) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.