Individual
MR. REYNALDO PUESAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
33 MAIN DR, NORTH WARREN, PA 16365-5001
(814) 726-4317
(814) 726-4447
Mailing address
319 N STATE ST, NORTH WARREN, PA 16365-4867
(814) 723-8090
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD040596E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260015303
RAILROAD MEDICARE #
—
Enumeration date
07/01/2006
Last updated
09/14/2016
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