Organization
RELIANCE MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON M. REGIS M.D (PRESIDENT)
(609) 272-0655
Entity
Organization
Contact information
Practice address
523 TILTON RD, NORTHFIELD, NJ 08225-1217
(609) 272-0655
(609) 272-9317
Mailing address
525 TILTON RD, NORTHFIELD, NJ 08225-1217
(609) 272-0655
(609) 272-9317
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036099
MEDICARE
NJ
Enumeration date
12/18/2006
Last updated
08/23/2024
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