Provider Demographics
NPI:1922180082
Name:REIN, JOEL MARC (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:MARC
Last Name:REIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2 1/2 DEARFIELD DR
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06831-5335
Mailing Address - Country:US
Mailing Address - Phone:203-869-9850
Mailing Address - Fax:203-869-5915
Practice Address - Street 1:2 1/2 DEARFIELD DR
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06831-5335
Practice Address - Country:US
Practice Address - Phone:203-869-9850
Practice Address - Fax:203-869-5915
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT015473208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTB39293Medicare UPIN