Individual
JONATHAN S REISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 E BROAD ST, HAZLETON, PA 18201-6835
(570) 501-4193
(570) 501-4109
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25MA10234500
NJ
207P00000X
Emergency Medicine Physician
Primary
MD455755
PA
207R00000X
Internal Medicine Physician
L-244022
MA
208M00000X
Hospitalist Physician
MD455755
PA
Other
Enumeration date
06/22/2010
Last updated
03/04/2024
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