Active NPIIndividual providerSole proprietor

Mr. Michael R Reutter, PA-C

Family Medicine, Adult Medicine in Berlin, New Jersey

NPI Number1639407414
Practice location
175 Cross Keys RD Ste 300A, Berlin, NJ 08009-9263
Fax
856-767-6102
Last updated
August 12, 2020

Michael Robert Reutter is a Family Medicine, Adult Medicine based in Berlin, NJ. Michael Robert Reutter practices in Berlin, NJ and has the professional credentials of PA-C. The NPI Number for Michael Robert Reutter is 1639407414 and holds a License No. 0A000754 (PA). The current practice location address for Michael Robert Reutter is 175 Cross Keys RD Ste 300A, Berlin, NJ 08009-9263 and can be reached out via phone at 856-767-0077 and via fax at 856-767-6102.

Provider Profile Details

NPI Number
1639407414
Provider Name
Michael Robert Reutter
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
175 Cross Keys RD Ste 300A, Berlin, NJ 08009-9263
Phone Number
856-767-0077
Fax Number
856-767-6102
Primary Taxonomy
Family Medicine, Adult Medicine · 207QA0505X
Sole Proprietor
Yes
Provider Enumeration Date
December 7, 2009
Last Update Date
August 12, 2020
Certification Date
August 12, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
175 Cross Keys RD Ste 300A
Berlin, NJ 08009-9263
City
Berlin
Zip
08009-9263
Phone Number
856-767-0077
Fax Number
856-767-6102
Berlin, NJ 08009Get directions →

Provider Business Mailing Address Details

Address
634 Pine Street
Philadelphia, PA 19106-4109
City
Philadelphia
State
PA
Zip
19106-4109
Phone Number
215-627-1300
Fax Number
215-925-2126

License Information

License Number
0A000754
License State
PA
Taxonomy
Family Medicine, Adult Medicine · 207QA0505X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Michael R Reutter, PA-C?

The NPI number of Mr. Michael R Reutter, PA-C is 1639407414. It was assigned on December 7, 2009 and is currently active in the NPPES registry.

What is the specialty of Mr. Michael R Reutter, PA-C?

Mr. Michael R Reutter, PA-C is registered under the primary taxonomy Family Medicine, Adult Medicine (code 207QA0505X), licensed in PA under license number 0A000754.

Where does Mr. Michael R Reutter, PA-C practice?

The practice location is 175 Cross Keys RD Ste 300A, Berlin, NJ 08009-9263. The office can be reached at 856-767-0077 (phone) or 856-767-6102 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639407414 directly on the NPPES registry website.

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