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Mr. Robert William Reilly, ATC
Student in an Organized Health Care Education/Training Program in East Orange, New Jersey
NPI 1487002192

Robert William Reilly is a Student in an Organized Health Care Education/Training Program based in Bethlehem, NJ. Robert William Reilly practices in East Orange, NJ and has the professional credentials of ATC. The NPI Number for Robert William Reilly is 1487002192 and holds a License No. 25MT00114500 (New Jersey).

The current practice location address for Robert William Reilly is 344 Prospect Street, East Orange, NJ and can be reached out via phone at 973-266-7300.

Location: 344 Prospect Street, East Orange, NJ, 18020-9677
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487002192
Provider Name
Robert William Reilly
Credential
ATC
Provider Entity Type
Individual
Gender
Male
Address
344 Prospect Street, East Orange, NJ, 18020-9677
Phone Number
973-266-7300
Fax Number
Provider Enumeration Date
06/03/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
25MT00114500 01 NJ BOARD OF MEDICAL EXAMINERS
institution
Provider Business Practice Location Address Details
Address
344 Prospect Street
City
East Orange
State
New Jersey
Zip
07017
Phone Number
973-266-7300
Fax Number
person
Provider Business Mailing Address Details
Address
344 Prospect Street
City
East Orange
State
New Jersey
Zip
07017
Phone Number
973-266-7300
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
25MT00114500 (New Jersey)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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