Individual
MR. GERARD CORNELIUS REIDY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC, MSTOM , CA
Contact information
Practice address
111 QUIMBY ST, WESTFIELD, NJ 07090-2185
(908) 612-5698
Mailing address
505 DOWNER ST, WESTFIELD, NJ 07090-4112
(908) 612-5698
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
MZ000203
NJ
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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