Individual
GEORGE DANIEL REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
31 Q MOUNTAIN BOULEVARD, WARREN, NJ 07059-5648
(908) 753-7773
(908) 753-8883
Mailing address
31 Q MOUNTAIN BOULEVARD, WARREN, NJ 07059-5648
(908) 753-7773
(908) 753-8883
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MA03575500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699601
—
NJ
Enumeration date
02/05/2007
Last updated
07/08/2007
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