Individual
DR. COLIN RUSSELL O'REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
200 SOMERSET ST, NEW BRUNSWICK, NJ 08901-1942
(732) 258-7000
Mailing address
200 SOMERSET ST, NEW BRUNSWICK, NJ 08901-1942
(732) 258-7000
(908) 389-5675
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
25MB08636600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0232050
—
NJ
Enumeration date
01/06/2010
Last updated
03/17/2018
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