Individual
LUIS REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 FULD ST, SUITE 303, TRENTON, NJ 08638-5247
(609) 883-5454
(609) 883-2565
Mailing address
PO BOX 8500-7211, PHILADELPHIA, PA 19178-0001
(609) 815-7810
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA02969200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8517304
—
NJ
Enumeration date
10/25/2006
Last updated
08/19/2009
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