Individual
DR. EMMANUEL REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 CLIFTON AVE, SUITE A, CLIFTON, NJ 07011-1426
(973) 594-8444
(973) 773-4491
Mailing address
PO BOX 4036, CLIFTON, NJ 07012-0436
(973) 594-8444
(973) 773-4491
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA65301
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7464703
—
NJ
Enumeration date
03/17/2006
Last updated
01/24/2008
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