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Mrs. Marianne Irene Reilly, PA-C
Surgical Physician Assistant in Stamford, Connecticut
NPI 1225206543

Marianne Irene Reilly is a Surgical Physician Assistant based in Stamford, CT and is specialized in Surgical. Marianne Irene Reilly practices in Stamford, CT and has the professional credentials of PA-C. The NPI Number for Marianne Irene Reilly is 1225206543 and holds a License No. 000339 (Connecticut).

The current practice location address for Marianne Irene Reilly is 30 Shelburne Rd, Stamford, CT and can be reached out via phone at 203-276-1000.

Location: 30 Shelburne Rd, Stamford, CT, 06904
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225206543
Provider Name
Marianne Irene Reilly
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
30 Shelburne Rd, Stamford, CT, 06904
Phone Number
203-276-1000
Fax Number
Provider Enumeration Date
02/20/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000339 01 CT CT STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
30 Shelburne Rd
City
Stamford
State
Connecticut
Zip
06902-3628
Phone Number
203-276-1000
Fax Number
person
Provider Business Mailing Address Details
Address
30 Shelburne Rd
City
Stamford
State
Connecticut
Zip
06902-3628
Phone Number
203-276-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
000339 (Connecticut)
Definition
Definition to come...
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