Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | D0034019 | MD |
NPI | 1386738938 |
---|---|
Provider Name | Barry J Reiner |
First Address | Baltimore, MD 21229 |
Second Address | Baltimore, MD 21229-5208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C57789 | (02) | MD |