| Reginald A. Jenkins, M.d.,p.a. | |
|
393 Bloomfield Ave Montclair NJ 07042-3505 | |
| (973) 746-8181 | |
| (973) 746-0599 |
| Full Name | Reginald A. Jenkins, M.d.,p.a. |
|---|---|
| Speciality | Clinic/center |
| Location | 393 Bloomfield Ave, Montclair, New Jersey |
| Authorized Official Name and Position | Reginald Alexander Jenkins (OWNER) |
| Authorized Official Contact | 9737468181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reginald A. Jenkins, M.d.,p.a. 393 Bloomfield Ave Montclair NJ 07042-3505 Ph: (973) 746-8181 | Reginald A. Jenkins, M.d.,p.a. 393 Bloomfield Ave Montclair NJ 07042-3505 Ph: (973) 746-8181 |
| NPI Number | 1275773350 |
|---|---|
| Provider Enumeration Date | 03/02/2009 |
| Last Update Date | 03/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275773350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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