Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | MD046027L | PA |
Y | 208200000X | Surgeon | MD046027L | PA |
Y | 208600000X | Surgeon | MD046027L | PA |
N | 2086X0206X | Surgical Oncologist | MD046027L | PA |
NPI | 1073573671 |
---|---|
Provider Name | David J. Reich |
First Address | Philadelphia, PA 19102-1121 |
Second Address | West Reading, PA 19611-2143 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2006 |
Last Update Date | 18/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G32963 | (02) |