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Individual

LISA M REID

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3 COOPER PLZ, SUITE 411, CAMDEN, NJ 08103-1438
(856) 342-2270
(856) 365-1180
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MA07193100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01007803000
AMERICHOICE
NJ
05
0112259
NJ
01
1419072
AETNA
NJ
01
2257314
CIGNA
NJ
01
2710436
UNITED HEALTHCARE
NJ
01
2802440000
AMERIHEALTH/KEYSRTON/IBC
NJ
01
3K6080
HEALTHNET
NJ
01
60027480
HORIZON NJ HEALTH
NJ
01
P3723063
OXFORD
NJ
Enumeration date
08/17/2006
Last updated
06/25/2019
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