Individual
MRS. LORETTA COLFORD REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
34TH ST AND CIVIC CENTER BLVD, PHILADELPHIA, PA 19104
(215) 590-0789
(215) 590-6301
Mailing address
302 KEATLEY DR, MOUNT LAUREL, NJ 08054-5131
(856) 802-6407
(215) 590-6301
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN251317L
PA
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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