Individual
THOMAS M. REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
01047334A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000020552
M-PLAN PROVIDER NUMBER
IN
01
—
000000224240
UNICARE PROVIDER NUMBER
IN
05
—
200186170
—
IN
01
—
366735000
US DEPT. OF LABOR
IN
01
—
5174577
AETNA PROVIDER NUMBER
IN
01
—
P00108315
MEDICARE RAILROAD
IN
Enumeration date
09/13/2006
Last updated
05/31/2016
Update your record
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