Individual
DR. JERALD LEWIS REISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
151 EVERETT AVE, URGENT CARE, CHELSEA, MA 02150-1812
(617) 884-8302
(617) 887-3704
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 884-8302
(617) 887-3704
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
42171
MA
207R00000X
Internal Medicine Physician
42171
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2094975
—
MA
01
—
J02319
BCBS
MA
Enumeration date
06/23/2006
Last updated
05/01/2014
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