Provider Demographics
NPI:1124195680
Name:REIS, MARIA T (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:T
Last Name:REIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1041 GERMANTOWN PIKE
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH MEETING
Mailing Address - State:PA
Mailing Address - Zip Code:19462-2449
Mailing Address - Country:US
Mailing Address - Phone:610-270-0700
Mailing Address - Fax:610-270-0202
Practice Address - Street 1:1041 GERMANTOWN PIKE
Practice Address - Street 2:
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-2449
Practice Address - Country:US
Practice Address - Phone:610-270-0700
Practice Address - Fax:610-270-0202
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD034414E2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry