Individual
JOSEPH W REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
774 CHRISTIANA RD, SUITE 202, NEWARK, DE 19713-4236
(302) 366-7671
(302) 366-7549
Mailing address
774 CHRISTIANA RD, SUITE 202, NEWARK, DE 19713-4236
(302) 366-7671
(302) 366-7549
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PENDING
—
Other
Enumeration date
09/29/2009
Last updated
09/29/2009
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