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
—
—
Other
Enumeration date
09/29/2010
Last updated
03/03/2011
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