Individual
COLLEEN K REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APN
Contact information
Practice address
4 PLAZA DR, SUITE 402, SEWELL, NJ 08080-2747
(856) 270-4040
(856) 270-4044
Mailing address
3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
(856) 968-7433
(856) 968-8366
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NN79808
NJ
363L00000X
Nurse Practitioner
Primary
NR79808
NJ
363L00000X
Nurse Practitioner
RN322533L
PA
Other
Enumeration date
10/13/2006
Last updated
06/26/2013
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