Individual
DR. MARCELLE JENNIFER REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
16290 E QUINCY AVE, AURORA, CO 80015-1594
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
227525
NY
207Q00000X
Family Medicine Physician
Primary
DR.0059961
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000404619006
BSNENY
NY
05
—
02503340
—
NY
01
—
028867
KAISER COMMERCIAL NUMBER
CO
01
—
080820000089
FIDELIS
NY
01
—
10075805
CDPHP
NY
01
—
131794
GHI-HMO
NY
01
—
3004538
MVP HEALTHCARE
NY
01
—
300931
SENIOR WHOLE HEALTH
NY
01
—
6016D1
EMPIRE BC
NY
01
—
7157690
AETNA
NY
05
—
9000164249
—
CO
Enumeration date
11/19/2005
Last updated
06/04/2021
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