Individual
THERESA ANN REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
39 TORONTO DR, BRICK, NJ 08723-7531
(732) 236-8361
Mailing address
1945 ROUTE 33, NEPTUNE, NJ 07753
(732) 776-4292
(732) 776-4213
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
431187
NY
Other
Enumeration date
10/09/2017
Last updated
07/22/2019
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