Individual
PATRICK M REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 349-8310
(215) 724-3560
Mailing address
51 N 39TH ST, 1 MOB, STE 120, PHILADELPHIA, PA 19104-2640
(215) 349-8310
(215) 724-3560
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
MD049369L
PA
2086S0127X
Trauma Surgery Physician
Primary
MD049369L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014738450007
—
PA
Enumeration date
06/27/2006
Last updated
12/24/2025
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