Organization
RELIANCE MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON M REGIS MD (OWNER)
(609) 272-0655
Entity
Organization
Contact information
Practice address
4013 ROUTE 9 N, HOWELL, NJ 07731-4021
(732) 905-5255
(732) 905-5266
Mailing address
22 N FRANKLIN BLVD, 2ND FLOOR, PLEASANTVILLE, NJ 08232-2547
(609) 272-0655
(609) 272-9317
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25MA07164700
NJ
207R00000X
Internal Medicine Physician
25MA07968600
NJ
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
25MA08497400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8139504
—
NJ
Enumeration date
04/15/2014
Last updated
10/07/2016
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