Mrs Oluyinka Olowolafe Reno, MD | |
65 Libby St, Brockton, MA 02302-2949 | |
(508) 584-6060 | |
(508) 584-4949 |
Full Name | Mrs Oluyinka Olowolafe Reno |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 65 Libby St, Brockton, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922061878 | NPI | - | NPPES |
110075448A | Medicaid | MA | |
230755 | Other | MA | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 230755 (Massachusetts) | Primary |
Entity Name | Reliant Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720017528 PECOS PAC ID: 5597755322 Enrollment ID: O20040708000650 |
Mailing Address | Practice Location Address |
---|---|
Mrs Oluyinka Olowolafe Reno, MD 5 Neponset St, Worcester, MA 01606-2714 Ph: (508) 368-7887 | Mrs Oluyinka Olowolafe Reno, MD 65 Libby St, Brockton, MA 02302-2949 Ph: (508) 584-6060 |
Mr. Jules Rako, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 830 Oak St, Ste 200w, Brockton, MA 02301 Phone: 508-586-7334 Fax: 508-583-7599 | |
Dr. Crystal L Rainville, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: One Pearl Street, Suite 2000, Brockton, MA 02301 Phone: 508-894-8577 Fax: 508-894-8578 | |
Madeleine Mbuyamba, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699 Fax: 508-583-4649 | |
Emily Slosberg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 158 Pleasant Street, Brockton, MA 02301 Phone: 508-894-3363 Fax: 508-893-4649 | |
Alan B Bulotsky, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 201 Quincy St, Brockton, MA 02302 Phone: 508-584-1890 Fax: 508-580-3332 | |
Freya S Emspak, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-894-0400 Fax: 508-894-0618 | |
Dr. Howard H Kay, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 65 Libby St, Brockton, MA 02302 Phone: 508-584-6060 Fax: 508-584-4949 |