Healthcare Provider Details

I. General information

NPI: 1841553997
Provider Name (Legal Business Name): DEBRA GEORGE-REICHLEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2012
Last Update Date: 05/11/2020
Certification Date: 05/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 ROUTE 113
SOUDERTON PA
18964-1000
US

IV. Provider business mailing address

519 S 5TH ST STE 130
PERKASIE PA
18944-1061
US

V. Phone/Fax

Practice location:
  • Phone: 215-723-3280
  • Fax: 215-257-8657
Mailing address:
  • Phone: 215-257-8601
  • Fax: 215-257-8619

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD453559
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: