Individual
JOHN M RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
412 W MONROE ST, EASTON, PA 18042-1717
(610) 330-0464
(484) 403-4024
Mailing address
1605 N CEDAR CREST BLVD, SUITE 110B, ALLENTOWN, PA 18104-2351
(610) 973-1410
(610) 973-1449
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS008329L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000686607
HIGHMARK BLUE SHIELD
PA
05
—
001516068
—
PA
01
—
03218901
NCAS
PA
01
—
0686606
KEYSTONE CENTRAL
PA
01
—
0791567000
PERSONAL CHOICE
PA
01
—
2108266
AETNA
PA
01
—
P00150116
RAILROAD MEDICARE
PA
Enumeration date
07/24/2006
Last updated
08/15/2016
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