Individual
HERBERT Y REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD042430E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD042430E
PA MEDICAL LICENSE
PA
Enumeration date
11/08/2011
Last updated
11/08/2011
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