Individual
DR. BRIAN JOSEPH REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
590 COURT ST, KEENE, NH 03431-1719
(603) 354-6762
Mailing address
590 COURT ST, KEENE, NH 03431-1719
(603) 354-5454
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6198
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000149
—
NH
Enumeration date
07/09/2006
Last updated
04/03/2012
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