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Individual
TELESFORD REYES
Active
Individual
TELESFORD REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
D0014816
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102629
JOHNS HOPKINS HEALTH CARE
MD
01
—
3057040
AETNA HMO
MD
01
—
4361641
AETNA PPO
MD
01
—
52076901
CARE FIRST BLUE CROSS
MD
01
—
73237
AMERIGROUP
MD
01
—
8791933
CIGNA
MD
01
—
S295 -0003
CARE FIRST BLUE CROSS
DC
Enumeration date
05/05/2006
Last updated
04/16/2008
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