Individual
JOHN REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 STATE ST FL 4, 4TH FLOOR, SUITE 401, ERIE, PA 16507-1427
(814) 877-8680
Mailing address
300 STATE ST FL 4, 4TH FLOOR, SUITE 401, ERIE, PA 16507-1427
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
MD021584E
PA
Other
Enumeration date
09/21/2005
Last updated
03/25/2021
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