Individual
DR. MICHAEL REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
83 FRANKLIN TPKE, WALDWICK, NJ 07463-1820
(201) 445-1079
(201) 445-1315
Mailing address
83 FRANKLIN TPKE, WALDWICK, NJ 07463-1820
(201) 445-1079
(201) 445-1315
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00776500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38MC00776500
CHIROPRACTIC BOARD OF NJ
NJ
Enumeration date
12/01/2020
Last updated
12/01/2020
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