Individual
EDWARD REIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
39TH AND FILBERT STREETS, MEDICAL ARTS BUILDING, SUITE 212, PHILADELPHIA, PA 19104
(215) 662-8978
(215) 662-5940
Mailing address
443 LAUREL OAK RD STE 130, VOORHEES, NJ 08043-4419
(844) 542-2273
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06148200
NJ
207R00000X
Internal Medicine Physician
MD049808L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001446042
—
PA
Enumeration date
07/10/2006
Last updated
06/23/2021
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