Individual
DR. PRUDENCIO CANTRE REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
135 BLOOMFIELD AVE, SUITE B, BLOOMFIELD, NJ 07003-5902
(973) 743-3556
(973) 743-3895
Mailing address
2 BRAEBURN PL, EAST BRUNSWICK, NJ 08816-2383
(732) 238-8093
(732) 238-8093
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MA 40990
NJ
208600000X
Surgery Physician
MA 40990
NJ
Other
Enumeration date
11/01/2006
Last updated
09/11/2025
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