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Physician Compare National (NPI:1497872816)

HEALTHCARE PROVIDER: DONALD J. REESE D.P.M.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1497872816
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 3577659432
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20071023000752
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name REESE
Individual professional last name
Provider First Name DONALD
Individual professional first name
Provider Middle Name J
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Individual professional's medical school
Graduation Year 1984
Individual professional's medical school graduation year
Primary Specialty PODIATRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 28 W BROAD ST
Group Practice or individual's line 1 address
City NANTICOKE
Group Practice or individual's city
State PA
Group Practice or individual's state
Zip Code 186342203
Group Practice or individual's zip code (9 digits when available)
Phone Number 5707351100
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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