Individual
ALEXANDRA REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
55 FRUIT STREET, WHITE 1, BOSTON, MA 02114
(617) 724-4100
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA101102
MA
Other
Enumeration date
07/24/2023
Last updated
10/18/2024
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