Individual
IRIS REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, GROUND SILVERSTEIN BLDG, PHILADELPHIA, PA 19104
(215) 662-6963
Mailing address
3400 SPRUCE STREET, GROUND SILVERSTEIN BUILDING, PHILADELPHIA, PA 19104
(215) 662-7248
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD040563E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011707580003
—
PA
Enumeration date
07/07/2006
Last updated
02/27/2013
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