Individual
DR. REGINALD OLIVER COLEMAN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2728 KENNEDY BLVD, JERSEY CITY, NJ 07306
(201) 433-7817
(201) 433-6044
Mailing address
2728 KENNEDY BLVD, JERSEY CITY, NJ 07306
(201) 433-7817
(201) 433-6044
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MAO34158
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1283405
—
NJ
Enumeration date
11/17/2006
Last updated
07/08/2007
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