Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | C10004010 | DE |
N | 207YP0228X | Pediatric Otolaryngology | C10004010 | DE |
NPI | 1679665400 |
---|---|
Provider Name | Dr. James S. Reilly |
First Address | Rockland, DE 19732-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2006 |
Last Update Date | 10/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000841061 | (05) | PA |
006536701 | (05) | VA |
1451858 | (05) | NY |
2012812 | (05) | MD |
400036000 | (05) | WV |
5479703 | (05) | NJ |
7611157 | (05) | NC |
C71272 | (02) |