Individual
GEORGE REYES DY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
40 W WELLSBORO ST, MANSFIELD LAUREL HEALTH CENTER, MANSFIELD, PA 16933-1411
(570) 662-2002
(570) 662-2025
Mailing address
40 W WELLSBORO ST, MANSFIELD, PA 16933-1411
(570) 662-1945
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD040198L
PA
207RN0300X
Nephrology Physician
MD040198L
PA
208000000X
Pediatrics Physician
MD040198L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001126034
—
PA
Enumeration date
08/14/2006
Last updated
07/14/2023
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