Individual
RUSSELL M REISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 COOPER PLZ RM 411, CAMDEN, NJ 08103-1438
(856) 342-3412
Mailing address
3 COOPER PLZ RM 502, CAMDEN, NJ 08103-1438
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MA07787900
NM
Other
Enumeration date
10/19/2006
Last updated
05/17/2021
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