Provider Demographics
NPI:1184687733
Name:REED, REBECCA A (DO)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:A
Last Name:REED
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:402 LIPPINCOTT DR
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4112
Mailing Address - Country:US
Mailing Address - Phone:856-782-3300
Mailing Address - Fax:856-504-8029
Practice Address - Street 1:520 STOKES RD
Practice Address - Street 2:IRONSTONE BLDG B10
Practice Address - City:MEDFORD
Practice Address - State:NJ
Practice Address - Zip Code:08055-2904
Practice Address - Country:US
Practice Address - Phone:609-654-9112
Practice Address - Fax:609-654-7404
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2010-03-04
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB06829800208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
077356 SK3Medicare PIN