Healthcare Provider Details

I. General information

NPI: 1720341852
Provider Name (Legal Business Name): BRITTANY MICHELLE REID MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BRITTANY MICHELLE WALKER MD

II. Dates (important events)

Enumeration Date: 06/22/2012
Last Update Date: 10/06/2022
Certification Date: 10/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 HADDONFIELD BERLIN RD STE 210
VOORHEES NJ
08043-3520
US

IV. Provider business mailing address

1000 HADDONFIELD BERLIN RD STE 210
VOORHEES NJ
08043-3520
US

V. Phone/Fax

Practice location:
  • Phone: 856-782-2212
  • Fax: 856-782-2266
Mailing address:
  • Phone: 856-782-2212
  • Fax: 856-782-2266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0116024650
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number25MA10306100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: