Provider Demographics
NPI:1417828559
Name:REITSMA, DORYS
Entity type:Individual
Prefix:
First Name:DORYS
Middle Name:
Last Name:REITSMA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:489 MANTOLOKING RD
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-5685
Mailing Address - Country:US
Mailing Address - Phone:732-685-7000
Mailing Address - Fax:
Practice Address - Street 1:489 MANTOLOKING RD
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-5685
Practice Address - Country:US
Practice Address - Phone:732-685-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula