Individual
DR. CARL R REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51 N. 39TH STREET, PHI SUITE 2C, PHILADELPHIA, PA 19104
(215) 662-9010
Mailing address
51 N 39TH ST, PHI SUITE 2C, PHILADELPHIA, PA 19104
(215) 662-9010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2009-00801
NC
207RC0000X
Cardiovascular Disease Physician
25MA10750900
NJ
207RC0000X
Cardiovascular Disease Physician
Primary
MD429251
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NC1090
—
SC
Enumeration date
07/18/2006
Last updated
11/22/2021
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