Provider Demographics
NPI:1164513982
Name:REEH, DEBORA CUMMINGS (DO)
Entity Type:Individual
Prefix:
First Name:DEBORA
Middle Name:CUMMINGS
Last Name:REEH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 E MAIN ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-3032
Mailing Address - Country:US
Mailing Address - Phone:856-235-6800
Mailing Address - Fax:856-235-6811
Practice Address - Street 1:701 E MAIN ST
Practice Address - Street 2:SUITE 1
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-3032
Practice Address - Country:US
Practice Address - Phone:856-235-6800
Practice Address - Fax:856-235-6811
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2014-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB69721207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7112277OtherAETNA NON-HMO PROVIDER
NJ7112277OtherAETNA NON-HMO PROVIDER
NJ050166Medicare ID - Type Unspecified