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Organization
GRACE REILLY GERIATRIC HOUSE CALLS LLC
Active
Organization
GRACE REILLY GERIATRIC HOUSE CALLS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GRACE MARIE REILLY RN, MSN, APN (NURSE PRACTITIONER)
(732) 239-3113
Entity
Organization
Contact information
Practice address
618 YELLOWBRICK RD, BRICK, NJ 08724-3334
(732) 239-3113
Mailing address
618 YELLOWBRICK RD, BRICK, NJ 08724-3334
(732) 239-3113
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/29/2010
Last updated
03/03/2011
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