Individual
NATHANIEL ROGER REYES LACAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 S 5TH AVE, WEST READING, PA 19611-2143
(484) 628-6389
Mailing address
420 S 5TH AVE, WEST READING, PA 19611-2143
(484) 628-6389
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MT229465
PA
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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