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NPI Code Detail

MEDICARE: PETER COOPER REYNER MD

MEDICARE: PETER COOPER REYNER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianMD030647 EPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285620013
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER COOPER REYNER MD
Provider Business Mailing Address
First Line : PO BOX 13579
Second Line :
City : READING
State : PA
Zip : 19612-3579
Country : US
Telephone Number : 484-628-0796
Fax Number : 484-334-7026
Provider Business Practice Location Address
First Line : 4201 KUTZTOWN RD
Second Line : MUHLENBERG MEDICAL ASSOCIATES
City : TEMPLE
State : PA
Zip : 19560-1836
Country : US
Telephone Number : 610-921-2094
Fax Number : 610-921-1235
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2005
Last Update Date : 05/28/2015

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