Individual
DR. JEANNETTE C.A REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
76 WEST JIMMIE LEEDS RD, SUITE 203, GALLOWAY, NJ 08205-9417
(609) 404-1300
(609) 404-1929
Mailing address
76 W JIMMIE LEEDS RD, SUITE 203, GALLOWAY, NJ 08205-9411
(609) 404-1300
(609) 404-1929
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00213100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5524601
—
NJ
Enumeration date
09/28/2006
Last updated
03/08/2011
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