Individual
DR. JOCHEN REISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD ,PHD
Contact information
Practice address
1580 NW 10TH AVE, BATCH 633A, MIAMI, FL 33136-1013
(305) 243-2349
(305) 243-3506
Mailing address
1500 NW 12 AVE, JMT EAST 1007, MIAMI, FL 33136-1028
(305) 243-4606
(305) 243-3506
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
224081
MA
207R00000X
Internal Medicine Physician
ME103154
FL
207RN0300X
Nephrology Physician
224081
MA
207RN0300X
Nephrology Physician
Primary
ME103154
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001279400
—
FL
01
—
468479
TUFTS HEALTH PLAN
MA
01
—
J28718
BCBS MA
MA
Enumeration date
11/02/2005
Last updated
01/19/2010
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