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NPI Code Detail

MEDICARE: ALAN J REIS M.D.

MEDICARE: ALAN J REIS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianMD067424LPA

General Provider Information

NPI Number : 1245214329
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALAN J REIS M.D.
Provider Business Mailing Address
First Line : 540 N NEVILLE ST
Second Line : SUITE 104
City : PITTSBURGH
State : PA
Zip : 15213-2853
Country : US
Telephone Number : 412-682-3003
Fax Number : 412-918-2334
Provider Business Practice Location Address
First Line : 1 NORTHGATE SQ
Second Line :
City : GREENSBURG
State : PA
Zip : 15601-1341
Country : US
Telephone Number : 724-832-1666
Fax Number : 412-918-2334
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2005
Last Update Date : 07/08/2007

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