Individual
DR. CHRISTIAN CHARLES REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
10 COMMERCE ST, SUITE B, GLASTONBURY, CT 06033-2313
(860) 430-9116
Mailing address
10 COMMERCE ST, SUITE B, GLASTONBURY, CT 06033-2313
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001479
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050001479CT02
BCBS
—
Enumeration date
03/16/2007
Last updated
07/08/2007
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