Reyes, Tyrone K.

Reyes, Tyrone K. is an individual health care provider with primary practice located at 150 Bergen St Pediatric E.R., Newark NJ 07103-2496. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Reyes, Tyrone K. can be contacted via phone (973) 972-5139.

Contact Information

Primary practice address
150 Bergen St Pediatric E.R. Newark NJ 07103-2496
Phone: (973) 972-5139
Fax: (973) 972-5965
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 25MA05799300 New Jersey

Profile Details

NPI number 1053463810
LBN Legal business name Reyes, Tyrone K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Aug 20th, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053463810 NPPES
New Jersey MEDICAID 5658403

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