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NPI Code Detail

MEDICARE: BARBARA REISER MD

MEDICARE: BARBARA REISER MD
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
1208100000XPhysical Medicine & Rehabilitation PhysicianMD07893RI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457358343
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA REISER MD
Provider Business Mailing Address
First Line : 275 BROADWAY UNIT 2
Second Line :
City : NEWPORT
State : RI
Zip : 02840-2612
Country : US
Telephone Number : 401-845-1472
Fax Number : 401-846-4874
Provider Business Practice Location Address
First Line : 11 FRIENDSHIP ST
Second Line : TURNER 1
City : NEWPORT
State : RI
Zip : 02840-2209
Country : US
Telephone Number : 401-845-1652
Fax Number : 401-845-1198
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 12/10/2008

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Directions to “ BARBARA REISER MD” Practice Location

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