| Reliance Medical Group, Llc | |
|
331 E Jimmie Leeds Rd Galloway NJ 08205-4123 | |
| (609) 652-6016 | |
| (609) 652-2406 |
| Full Name | Reliance Medical Group, Llc |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 331 E Jimmie Leeds Rd, Galloway, New Jersey |
| Authorized Official Name and Position | Jon M Regis (OWNER) |
| Authorized Official Contact | 6092720655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reliance Medical Group, Llc 22 N Franklin Blvd 2nd Floor Pleasantville NJ 08232-2547 Ph: (609) 272-0655 | Reliance Medical Group, Llc 331 E Jimmie Leeds Rd Galloway NJ 08205-4123 Ph: (609) 652-6016 |
| NPI Number | 1255751285 |
|---|---|
| Provider Enumeration Date | 04/17/2014 |
| Last Update Date | 04/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255751285 | NPI | - | NPPES |
| 8139504 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MA07552100 (New Jersey) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 25MA05992900 (New Jersey) | Primary |
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