Provider Demographics
NPI:1003887787
Name:REEVE, HAROLD R (MD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:R
Last Name:REEVE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:668 MAIN ST
Mailing Address - Street 2:STE 4
Mailing Address - City:LUMBERTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08048
Mailing Address - Country:US
Mailing Address - Phone:609-267-6800
Mailing Address - Fax:609-267-8932
Practice Address - Street 1:668 MAIN ST
Practice Address - Street 2:STE 4
Practice Address - City:LUMBERTON
Practice Address - State:NJ
Practice Address - Zip Code:08048
Practice Address - Country:US
Practice Address - Phone:609-267-6800
Practice Address - Fax:609-267-8932
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD067331L208800000X
NJ25MA03602100208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0386997000OtherAMERIHEALTH
0016431OtherAETNA
0386997000OtherAMERIHEALTH
565604AURMedicare ID - Type Unspecified