Edgardo V. Reynoso in Mequon - Diagnostic Radiology
Edgardo V. Reynoso - NPI 1083659494
Edgardo V. Reynoso is a Diagnostic Radiology in Mequon, Wisconsin. Edgardo V. Reynoso practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Edgardo V. Reynoso is 1083659494. The last update date is 2007-10-31.
Edgardo V. Reynoso's current location address is 10335 N Port Washington Rd, Mequon, Wisconsin. You can contact this provider via phone number 2622409870 and fax number 2622409869. The mailing address for Edgardo V. Reynoso is 10335 N Port Washington Rd, Mequon, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edgardo V. Reynoso |
|---|---|
| Address | 10335 N Port Washington Rd, Mequon, Wisconsin |
| Phone Number | 2622409870 |
| Fax Number | 2622409869 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1083659494 |
|---|---|
| Provider Enumeration Date | 2006-06-19 |
| Last Updated Date | 2007-10-31 |
Provider Mailing Address Detail
| Address | 10335 N Port Washington Rd |
|---|---|
| City | Mequon |
| State | Wisconsin (WI) |
| Post Code | 530925763 |
| Phone Number | 2622409870 |
| Fax Number | 2622409869 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 25MA02746300 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 576603 | NJ | -- | |
| 498577 | NY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Edgardo V. Reynoso?
The Edgardo V. Reynoso has been issued the NPI (National Provider Identifier) 1083659494 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Edgardo V. Reynoso is physically located?
The Edgardo V. Reynoso is physically situated at the following address: 10335 N Port Washington Rd, Mequon, WI, 530925763.
What is Edgardo V. Reynoso's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Edgardo V. Reynoso is Diagnostic Radiology, and the taxonomy code that categorizes this field of expertise is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services issue the 1083659494 to Edgardo V. Reynoso?
The Edgardo V. Reynoso received its 1083659494 assignment from the Centers for Medicare & Medicaid Services on 2006-06-19.
When was the information related to Edgardo V. Reynoso most recently updated or refreshed?
The details pertaining to the Edgardo V. Reynoso, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-10-31.
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