Provider Demographics
NPI:1114415809
Name:REICH, GREGORY GEORGE
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:GEORGE
Last Name:REICH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5704 BROWNSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-3504
Mailing Address - Country:US
Mailing Address - Phone:412-943-1950
Mailing Address - Fax:412-943-1954
Practice Address - Street 1:5704 BROWNSVILLE RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-3504
Practice Address - Country:US
Practice Address - Phone:412-943-1950
Practice Address - Fax:412-943-1954
Is Sole Proprietor?:No
Enumeration Date:2018-04-27
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPO000022224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist