Organization
MICHELLE REISNER MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YOGINI CHAUDHARY (BILLER)
(732) 321-1100
Entity
Organization
Contact information
Practice address
196 JEWETT AVE, JERSEY CITY, NJ 07304-1804
(201) 332-3354
Mailing address
PO BOX 729, TENAFLY, NJ 07670-0729
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3914500
—
NJ
Enumeration date
01/31/2008
Last updated
01/31/2008
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