Individual
DR. W. ANTHONY RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6701 N CHARLES ST, STE 4105, BALTIMORE, MD 21204-6808
(443) 849-3184
Mailing address
PO BOX 631568, BALTIMORE, MD 21263-1568
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D25205
MD
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
D25205
MD
208VP0000X
Pain Medicine Physician
D25205
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
315661300
—
MD
01
—
KJ15-34883001
CAREFIRST MARYLAND
MD
01
—
S1380016
CAREFIRST REGIONAL
MD
Enumeration date
07/19/2006
Last updated
12/10/2011
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