Individual
PATRICE W. REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5000 WOODLAND AVE, PHILADELPHIA, PA 19143-5137
(215) 726-9807
(215) 726-0424
Mailing address
432 N 6TH ST, PHILADELPHIA, PA 19123-4004
(215) 925-2400
(215) 925-9162
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD425381
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03226
HEALTH PARTNERS
PA
01
—
0492593
CIGNA
PA
05
—
101142943
—
PA
01
—
101142943-01
AMERICHOICE
PA
01
—
1659165
HIGHMARK BLUE SHIELD
PA
01
—
2335423000
IBC, KEYSTONE
PA
01
—
2490677
UNITED HEALTHCARE
PA
01
—
30021095
KEYSTONE MERCY
PA
01
—
3767374
AETNA
PA
01
—
9376776
PHCS
PA
Enumeration date
06/08/2006
Last updated
07/03/2013
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