Individual
MR. MICHAEL ROBERT REUTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
175 CROSS KEYS RD STE 300A, BERLIN, NJ 08009-9263
(856) 767-0077
(856) 767-6102
Mailing address
634 PINE STREET, PHILADELPHIA, PA 19106-4109
(215) 627-1300
(215) 925-2126
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
0A000754
PA
Other
Enumeration date
12/07/2009
Last updated
08/12/2020
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