Provider Demographics
NPI:1437485463
Name:JAMES F. REA, D.O., P.C.
Entity Type:Organization
Organization Name:JAMES F. REA, D.O., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:F
Authorized Official - Last Name:REA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-830-0803
Mailing Address - Street 1:2300 COMPUTER RD
Mailing Address - Street 2:J-54-A
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090-1752
Mailing Address - Country:US
Mailing Address - Phone:215-830-0803
Mailing Address - Fax:
Practice Address - Street 1:2300 COMPUTER RD
Practice Address - Street 2:J-54-A
Practice Address - City:WILLOW GROVE
Practice Address - State:PA
Practice Address - Zip Code:19090-1752
Practice Address - Country:US
Practice Address - Phone:215-830-0803
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-27
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty