Organization
ANDREA I. REZNIK MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA ISABELLE REZNIK M.D. (PRESIDENT)
(908) 725-4242
Entity
Organization
Contact information
Practice address
201 UNION AVE, BLDG. 2 SUITE A, BRIDGEWATER, NJ 08807-3002
(908) 725-4242
(908) 725-4006
Mailing address
201 UNION AVE, BLDG. 2 SUITE A, BRIDGEWATER, NJ 08807-3002
(908) 725-4242
(908) 725-4006
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA04032600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3265307
—
NJ
Enumeration date
09/21/2011
Last updated
09/21/2011
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