Healthcare Provider Details

I. General information

NPI: 1497768428
Provider Name (Legal Business Name): JOSEPH ANTHONY REINHARDT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2003 ROCK SPRING RD SUITE 7
FOREST HILL MD
21050-2611
US

IV. Provider business mailing address

2003 ROCK SPRING RD SUITE 7
FOREST HILL MD
21050-2611
US

V. Phone/Fax

Practice location:
  • Phone: 410-879-4590
  • Fax: 410-420-1602
Mailing address:
  • Phone: 410-879-4590
  • Fax: 410-420-1602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberDOO15673
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: