Individual
DR. MARK S REYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
29 11 FAIR LAWN AVE, FAIR LAWN, NJ 07410
(201) 794-0940
(201) 794-0353
Mailing address
29 11 FAIR LAWN AVE, FAIR LAWN, NJ 07410
(201) 794-0940
(201) 794-0353
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA48289
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0898708
—
NJ
Enumeration date
06/26/2006
Last updated
03/15/2022
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