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Organization

THERESA K. REILLY MD OPT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THERESA K REILLY M.D. (OWNER)
(215) 634-6660
Entity
Organization

Contact information

Practice address
2418 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-4403
(215) 634-6660
(215) 739-6777
Mailing address
2418 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-4403
(215) 634-6660
(215) 739-6777

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD020803E
PA

Other

Enumeration date
02/01/2008
Last updated
04/09/2008
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