# RELIANCE MEDICAL GROUP, LLC

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

## Provider details

- **NPI number:** 1255751285
- **Authorized official:** JON M REGIS MD (OWNER)
- **Authorized official phone:** (609) 272-0655

## Contact information

- **Practice address:** 331 E JIMMIE LEEDS RD, GALLOWAY, NJ 08205-4123
- **Practice address phone:** (609) 652-6016
- **Practice address fax:** (609) 652-2406
- **Mailing address:** 22 N FRANKLIN BLVD, 2ND FLOOR, PLEASANTVILLE, NJ 08232-2547
- **Mailing address phone:** (609) 272-0655
- **Mailing address fax:** (609) 272-9317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 25MA07552100 | NJ | — |
| 207V00000X | Obstetrics & Gynecology Physician | 25MA05992900 | NJ | Yes |

## Other

- **Enumeration date:** 04/17/2014
- **Last updated:** 04/17/2014