Individual
MR. MICHAEL O'REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4 CORPORATE DR, SUITE # 484, SHELTON, CT 06484-6211
(203) 944-9898
(203) 944-9899
Mailing address
4 CORPORATE DR, SUITE # 484, SHELTON, CT 06484-6211
(203) 944-9898
(203) 944-9899
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
031581
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001315812
—
CT
Enumeration date
06/28/2006
Last updated
07/08/2007
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