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Individual
JACK REINGOLD
Active
Individual
JACK REINGOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E2538
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480032777
RR INDIVIDUAL PROV. #
CA
Enumeration date
04/05/2006
Last updated
11/12/2015
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