Provider Demographics
NPI:1144258351
Name:HERR, GEORGE REINICKER JR (MD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:REINICKER
Last Name:HERR
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 TANGLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NORTH WALES
Mailing Address - State:PA
Mailing Address - Zip Code:19454-3674
Mailing Address - Country:US
Mailing Address - Phone:215-699-1864
Mailing Address - Fax:
Practice Address - Street 1:1401 TANGLEWOOD DR
Practice Address - Street 2:
Practice Address - City:NORTH WALES
Practice Address - State:PA
Practice Address - Zip Code:19454-3674
Practice Address - Country:US
Practice Address - Phone:215-699-1864
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD0028205E207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology