| Mark Reyn Md Pc | |
|
29-11 Fair Lawn Ave Fair Lawn NJ 07410-3412 | |
| (201) 794-0940 | |
| (201) 794-0353 |
| Full Name | Mark Reyn Md Pc |
|---|---|
| Speciality | General Practice |
| Location | 29-11 Fair Lawn Ave, Fair Lawn, New Jersey |
| Authorized Official Name and Position | Anna Kagan (OFFICE MANAGER) |
| Authorized Official Contact | 2017940940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Reyn Md Pc 29-11 Fair Lawn Ave Fair Lawn NJ 07410-3412 Ph: (201) 794-0940 | Mark Reyn Md Pc 29-11 Fair Lawn Ave Fair Lawn NJ 07410-3412 Ph: (201) 794-0940 |
| NPI Number | 1366602278 |
|---|---|
| Provider Enumeration Date | 06/13/2008 |
| Last Update Date | 06/13/2008 |
| Medicare PECOS PAC ID | 6204907470 |
|---|---|
| Medicare Enrollment ID | O20080616000279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366602278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | MA48289 (New Jersey) | Primary |
| Provider Name | Mark S Reyn |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1225064546 PECOS PAC ID: 8729184791 Enrollment ID: I20070508000450 |
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