Individual
DR. GERALD V O'REILLY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
48 MONTVALE AVE, STONEHAM, MA 02180-2425
(781) 279-2213
Mailing address
PO BOX 9137, BROOKLINE, MA 02446-9137
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
42124
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2058413
—
MA
Enumeration date
05/18/2006
Last updated
07/08/2007
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