Individual
MITCHELL FOREST REITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33 OVERLOOK RD, MAC SUITE 305, SUMMIT, NJ 07901-3570
(908) 608-9620
Mailing address
33 OVERLOOK RD, MAC SUITE 305, SUMMIT, NJ 07901-3570
(908) 608-9620
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
25MA06739400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7669003
—
NJ
Enumeration date
11/01/2006
Last updated
05/08/2008
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