# BERNADETT REYES MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144578089
- **Authorized official:** DR. BERNADETTE REYES M.D. (PRESIDENT)
- **Authorized official phone:** (973) 773-7443

## Contact information

- **Practice address:** 40 PASSAIC AVE, PASSAIC, NJ 07055-4912
- **Practice address phone:** (973) 773-7443
- **Practice address fax:** (973) 773-1389
- **Mailing address:** 40 PASSAIC AVE, PASSAIC, NJ 07055-4912
- **Mailing address phone:** (973) 773-7443
- **Mailing address fax:** (973) 773-1389

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA04327000 | NJ | Yes |

## Other

- **Enumeration date:** 08/27/2012
- **Last updated:** 08/27/2012
