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Individual

ADAM S REESE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5501 OLD YORK RD BLDG GROUND, PHILADELPHIA, PA 19141-3018
(215) 456-6280
(215) 457-0270
Mailing address
101 E OLNEY AVE STE 400, PHILADELPHIA, PA 19120-2470
(215) 456-1825
(215) 456-5926

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
MD451568
PA
2085R0001X
Radiation Oncology Physician
Primary
MD451568
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102940867
PA
Enumeration date
05/21/2009
Last updated
09/27/2019
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