Individual
DR. PHILIP J REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 CENTERVILLE RD, WARWICK, RI 02886-4336
(401) 738-3730
(401) 738-3777
Mailing address
120 CENTERVILLE RD, WARWICK, RI 02886-4336
(401) 738-3730
(401) 738-3777
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
73223
MA
207X00000X
Orthopaedic Surgery Physician
Primary
MD07857
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3066827
—
MA
Enumeration date
10/10/2005
Last updated
05/05/2008
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