Individual
KEITH REINSDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
317 GEORGE ST, NEW BRUNSWICK, NJ 08901-2008
(732) 235-8993
(732) 246-7317
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA06968600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007561
—
NJ
01
—
P00755988
RR MCR PTAN
NJ
Enumeration date
01/16/2007
Last updated
01/28/2010
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