Individual
DR. ANDREW S REISMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3505 SILVERSIDE RD, STE 100, WILMINGTON, DE 19810-4904
(302) 477-0900
(302) 477-0902
Mailing address
3505 SILVERSIDE RD, STE 100, WILMINGTON, DE 19810-4904
(302) 477-0900
(302) 477-0902
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
C1-0005577
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001044101
—
DE
01
—
0670506000
INDEPENDENCE BC/PC
DE
01
—
2144021
OPTIMUM CHOICE
DE
01
—
4721
MID-ATLANTIC
DE
01
—
7911229
AETNA
DE
Enumeration date
06/16/2005
Last updated
07/09/2007
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