Basic Information
| Provider Information | |||||||||
| NPI: | 1134240047 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | REED | ||||||||
| FirstName: | ROSELINE | ||||||||
| MiddleName: | R | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 64 ANDREWS CT | ||||||||
| Address2: | |||||||||
| City: | LEWISBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 178376509 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5705771401 | ||||||||
| FaxNumber: | 5705773570 | ||||||||
| Practice Location | |||||||||
| Address1: | BUCKNELL UNIVERSITY, SNAKE ROAD | ||||||||
| Address2: | SHS | ||||||||
| City: | LEWISBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 178376509 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5705771401 | ||||||||
| FaxNumber: | 5705773570 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/02/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MD066084L | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.