Organization
DR. REGINALD O. COLEMAN M.D. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGINALD OLIVER COLEMAN SR. M.D. (PRESIDENT)
(201) 433-7817
Entity
Organization
Contact information
Practice address
2728 KENNEDY BLVD, 1ST FLOOR, JERSEY CITY, NJ 07306
(201) 433-7817
(201) 433-6044
Mailing address
2728 KENNEDY BLVD, 1ST FLOOR, JERSEY CITY, NJ 07306
(201) 433-7817
(201) 433-6044
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA03415800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1283405
—
NJ
Enumeration date
09/21/2009
Last updated
09/21/2009
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