Individual
DR. MICHELLE REISNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
196 JEWETT AVENUE, JERSEY CITY, NJ 07304
(201) 332-3354
(201) 332-0180
Mailing address
196 JEWETT AVE, JERSEY CITY, NJ 07304-1804
(201) 332-3354
(201) 332-0180
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA05092900
NJ
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MA50929
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3914500
—
NJ
Enumeration date
05/01/2006
Last updated
06/17/2021
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