Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 25MA03602100 | NJ |
N | 208800000X | Urologist | MD067331L | PA |
NPI | 1003887787 |
---|---|
Provider Name | Dr. Harold R Reeve |
First Address | Lumberton, NJ 08048 |
Second Address | Lumberton, NJ 08048 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0016431 | AETNA (01) | |
0386997000 | AMERIHEALTH (01) | |
D97072 | (02) |