Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 25MD00298000 | NJ |
NPI | 1033368022 |
---|---|
Provider Name | Dr. Jacob Mann Reinkraut |
First Address | Ridgewood, NJ 07450-2010 |
Second Address | Ridgewood, NJ 07450-2010 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2008 |
Last Update Date | 01/04/2019 |