Provider Demographics
NPI:1477555324
Name:REINACH, ALAN J (MD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:J
Last Name:REINACH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1648 HUNTINGDON PIKE
Mailing Address - Street 2:MEDICAL STAFF OFFICE FIRST FLOOR
Mailing Address - City:MEADOWBROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19046
Mailing Address - Country:US
Mailing Address - Phone:215-938-3450
Mailing Address - Fax:215-938-3829
Practice Address - Street 1:1650 HUNTINGDON PIKE
Practice Address - Street 2:SUITE 305
Practice Address - City:MEADOWBROOK
Practice Address - State:PA
Practice Address - Zip Code:19046-8004
Practice Address - Country:US
Practice Address - Phone:215-947-6404
Practice Address - Fax:215-947-9883
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2016-06-16
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Provider Licenses
StateLicense IDTaxonomies
PAMD056678L207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019151970001Medicaid
PA037287Medicare PIN
H14153Medicare UPIN