Healthcare Provider Details

I. General information

NPI: 1922081025
Provider Name (Legal Business Name): ROBERT D REINHART MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2005
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3735 NAZARETH RD
EASTON PA
18045-8338
US

IV. Provider business mailing address

801 OSTRUM ST DEPARTMENT OF RADIOLOGY
BETHLEHEM PA
18015-1000
US

V. Phone/Fax

Practice location:
  • Phone: 484-658-5758
  • Fax: 833-213-6428
Mailing address:
  • Phone: 484-658-5758
  • Fax: 833-213-6428

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD069453L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberMD069453L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: