Individual
DR. BRIAN THOMAS REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5189
(215) 707-2000
Mailing address
35 MIRAMESA DR, PEMBROKE, MA 02359-2834
(781) 853-9849
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MT220246
PA
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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