Jacquelyn Reilly
Otolaryngologist (ENT Doctor)
100 Wason Avenue Suite 110
Springfield
, Massachusetts 01107
Jacquelyn Reilly
Otolaryngologist (ENT Doctor)
100 Wason Avenue Suite 110
Springfield
, Massachusetts 01107
(413) 734-2371
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Jacquelyn Reilly
- 100 Wason Avenue Suite 110
- Springfield, MA
- Zip : 01107
- Fax : (413) 734-2371
- Phone : (413) 732-7426
Second Address
- Jacquelyn Reilly
- 100 Wason Avenue Suite 110
- Springfield, MA
- Zip : 01107
- Fax : (413) 734-2371
- Phone : (413) 732-7426
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 217113 | MA |
National Provider Identifier
| NPI | 1033104328 |
|---|---|
| Provider Name | Jacquelyn Reilly |
| First Address | Springfield, MA 01107 |
| Second Address | Springfield, MA 01107 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/09/2005 |
| Last Update Date | 05/10/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2018675 | (05) | MA |
| H91180 | (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.