Reyes, Emmanuel

Reyes, Emmanuel is an sole proprietor health care provider with primary practice located at 110 Clifton Ave Suite A, Clifton NJ 07011-1426. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Reyes, Emmanuel can be contacted via phone (973) 594-8444.

Contact Information

Primary practice address
110 Clifton Ave Suite A Clifton NJ 07011-1426
Fax: (973) 773-4491
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA65301 New Jersey

Profile Details

NPI number 1174592521
LBN Legal business name Reyes, Emmanuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 17th, 2006
Last updated Jan 24th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1174592521 NPPES
New Jersey MEDICAID 7464703

Popular Providers