Individual
DR. RICHARD A REUTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
307 THIRD AVE, LONG BRANCH, NJ 07740-6311
(732) 229-8285
(732) 263-1376
Mailing address
307 THIRD AVE, LONG BRANCH, NJ 07740-6311
(732) 229-8285
(732) 263-1376
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA02760500
NJ
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
25MA02760500
NJ
2080P0006X
Developmental - Behavioral Pediatrics Physician
25MA02760500
NJ
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
25MA02760500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1995103
—
NJ
Enumeration date
05/15/2006
Last updated
08/07/2020
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