Individual
MR. BRIAN M. O'REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
4 HARTFORD DR. SUITE 1, RIVERVIEW MEDICAL ASSOCIATES PA, TINTON FALLS, NJ 07701-4929
(732) 741-3600
(732) 784-9171
Mailing address
PO BOX 8519, RED BANK, NJ 07701
(732) 460-9840
(732) 460-9840
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00436300
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ00436300
NJ
Other
Enumeration date
06/11/2012
Last updated
11/02/2016
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