Reisman, Jerald Lewis

Reisman, Jerald Lewis is an individual health care provider with primary practice located at 151 Everett Ave Urgent Care, Chelsea MA 02150-1812. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Reisman, Jerald Lewis can be contacted via phone (617) 884-8302.

Contact Information

Primary practice address
151 Everett Ave Urgent Care Chelsea MA 02150-1812
Phone: (617) 884-8302
Fax: (617) 887-3704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 42171 Massachusetts
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 42171 Massachusetts

Profile Details

NPI number 1922034867
LBN Legal business name Reisman, Jerald Lewis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated May 1st, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922034867 NPPES
Massachusetts Other J02319 BCBS
Massachusetts MEDICAID 2094975 BCBS

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