NPI 1124106919

Mark S. Reisman, MD

Practitioner Dermatology Physician Oakland, CA

Practice location

Address: 275 W Macarthur, Oakland, CA 94611-5641
Phone: (510) 752-1000

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence G54329 (CA)

Other Dermatology providers in California →

Registry record

NPI: 1124106919
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Nov 2006
Record last updated: 17 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.