Individual
MARK S. REISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
275 W MACARTHUR, OAKLAND, CA 94611-5641
(510) 752-1000
Mailing address
275 W MACARTHUR, OAKLAND, CA 94611-5641
(510) 752-1000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G54329
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G543290
—
CA
Enumeration date
11/01/2006
Last updated
10/17/2014
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