Reilly, George Daniel

Reilly, George Daniel is an individual health care provider with primary practice located at 31 Q Mountain Boulevard , Warren NJ 07059-5648. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Reilly, George Daniel can be contacted via phone (908) 753-7773.

Contact Information

Primary practice address
31 Q Mountain Boulevard Warren NJ 07059-5648
Phone: (908) 753-7773
Fax: (908) 753-8883
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 25MA03575500 New Jersey

Profile Details

NPI number 1518006865
LBN Legal business name Reilly, George Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518006865 NPPES
New Jersey MEDICAID 1699601

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