Individual
DR. MATTHEW THOMAS REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7000
Mailing address
9 EBB TIDE LANDING, POQUOSON, VA 23662
(607) 972-7055
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25MB10056800
NJ
207P00000X
Emergency Medicine Physician
Primary
266070
NY
Other
Enumeration date
04/30/2012
Last updated
06/21/2017
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