Provider Demographics
NPI:1558381434
Name:REINER, LESLIE MARK (MD)
Entity Type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:MARK
Last Name:REINER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:19 HAMPTON RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-4816
Mailing Address - Country:US
Mailing Address - Phone:603-772-9371
Mailing Address - Fax:603-773-2377
Practice Address - Street 1:19 HAMPTON RD
Practice Address - Street 2:SUITE 4
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-4816
Practice Address - Country:US
Practice Address - Phone:603-772-9371
Practice Address - Fax:603-773-2377
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH5555207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH81114119Medicaid
NHNH4119Medicare ID - Type Unspecified
NH81114119Medicaid