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Contact Information

NICOLE RILEY, P.A., C.
401 YOUNG AVE
SUITE 245
MOORESTOWN, NJ08057-3130
 Phone: 609-267-9400
 Fax: 609-267-9457
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for NICOLE RILEY · (Female)

NPI # 1730129974
Status Active
Credentials P.A., C.
Entity Individual
Enumeration date 06/07/2006
Last updated 06/10/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # MP799
Hospital affiliation(s)
  • VIRTUA WEST JERSEY HOSPITALS BERLIN - (Acute Care)
    WHITEHORSE PIKE AND TOWNSEND AVENUE
    BERLIN, NJ 08009
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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