Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 25MA05837500 | NJ |
NPI | 1043315427 |
---|---|
Provider Name | Dr. Steven M Reich |
First Address | North Brunswick, NJ 08902-1137 |
Second Address | North Brunswick, NJ 08902-1137 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F46540 | (02) | NJ |