Edgardo V. Reynoso M.D.

NPI 1083659494 - Radiology - 2085R0202X

NPI Details
NPI 1083659494
Gender Male
Enumeration Date 06/19/2006
Last Updated 10/31/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
308 WILLOW AVE
RADIOLOGY DEPARTMENT
HOBOKEN NJ, 07030-3808, US
Phone (201) 418-1820
Fax (201) 418-1822
Business Location
10335 N PORT WASHINGTON RD
SUITE 250
MEQUON WI, 53092-5763, US
Phone (262) 240-9870
Fax (262) 240-9869
Toxanomy
Taxonomy Code 2085R0202X
License State New Jersey
License Number 25MA02746300
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According to our database, Dr. Edgardo V. Reynoso M.D. NPI is 1083659494, taxonomy code is 2085R0202X and license number is 25MA02746300, license state is located at New Jersey. Edgardo V. Reynoso M.D. physically located at 308 Willow Ave, Hoboken NJ, 07030-3808. NPI Number Edgardo V. Reynoso M.D. has the Individual type.

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1083659494 NPI number is provided on an as is basis without warranty of any kind. 1083659494 is maintained by the National Plan & Provider Enumeration System. The contents of Edgardo V. Reynoso M.D. are for informational purposes only.