Dr. John F Reilly
Plastic and Reconstructive Surgery
2 Ivy Brook Rd Suite 105
Shelton
, Connecticut 06484-6416
Dr. John F Reilly
Plastic and Reconstructive Surgery
2 Ivy Brook Rd Suite 105
Shelton
, Connecticut 06484-6416
(203) 924-1300
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Dr. John F Reilly
- 2 Ivy Brook Rd Suite 105
- Shelton, CT
- Zip : 06484-6416
- Fax : (203) 924-1300
- Phone : (203) 924-2900
Second Address
- Dr. John F Reilly
- 2 Ivy Brook Rd Suite 105
- Shelton, CT
- Zip : 06484-6416
- Fax : (203) 924-1300
- Phone : (203) 924-2900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | 040166 | CT |
National Provider Identifier
| NPI | 1053303818 |
|---|---|
| Provider Name | Dr. John F Reilly |
| First Address | Shelton, CT 06484-6416 |
| Second Address | Shelton, CT 06484-6416 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/08/2005 |
| Last Update Date | 26/01/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H69471 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.