Individual
JAMES C REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
219 N BROAD ST, 5TH FL, PHILADELPHIA, PA 19107-1519
(215) 762-6220
(215) 762-5034
Mailing address
3400 CIVIC CENTER BLVD, FL 7, PHILADELPHIA, PA 19104-5163
(215) 255-7822
(215) 255-7825
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD024261E
PA
207RG0100X
Gastroenterology Physician
Primary
MD024261E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000913358
—
PA
Enumeration date
05/05/2006
Last updated
05/03/2016
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