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Individual

JAMIE VON REYN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1200 EAGLE AVE, OCEAN, NJ 07712-7631
(732) 660-6200
Mailing address
PO BOX 71230, PHILADELPHIA, PA 19176-6230
(703) 383-6469

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004297
VA

Other

Enumeration date
08/19/2013
Last updated
09/09/2014
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