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Individual

DR. ADAM C REESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3401 N BROAD ST, 3RD FL PARKINSON PAVILION, PHILADELPHIA, PA 19140-5103
(215) 707-3375
(215) 707-4758
Mailing address
2450 W HUNTING PARK AVE, 3RD FLOOR, PHILADELPHIA, PA 19129-1302
(215) 707-3375
(215) 707-4758

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
A98744
CA
208800000X
Urology Physician
D72501
MD
208800000X
Urology Physician
Primary
MD448796
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
044207100
MD
Enumeration date
04/02/2007
Last updated
03/21/2017
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