Organization
ELIZABETH REILEY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH REILEY MD (OWNER)
(201) 692-9550
Entity
Organization
Contact information
Practice address
699 TEANECK RD, TEANECK, NJ 07666-4244
(201) 692-9550
Mailing address
699 TEANECK RD, TEANECK, NJ 07666-4244
(201) 512-9494
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
MA050398
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3828603
—
NJ
Enumeration date
05/24/2006
Last updated
01/23/2008
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