Provider Demographics
NPI:1427837194
Name:REGEN DOCTORS, INC
Entity type:Organization
Organization Name:REGEN DOCTORS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ONORATO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-962-3373
Mailing Address - Street 1:163 N COMMERCE WAY
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-8933
Mailing Address - Country:US
Mailing Address - Phone:610-867-7246
Mailing Address - Fax:
Practice Address - Street 1:163 N COMMERCE WAY
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-8933
Practice Address - Country:US
Practice Address - Phone:610-867-7246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-22
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty