Lookup NPI Numbers from the NPI Registry
NPI Profile for BRENT M REILLY in BRIDGEPORT, CT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant | |
Physician Assistant |
363A00000X | 97 | Physician Assistant |
| NPI # | 1063586147 |
|
| Status | Active | |
| Credentials | PA-C (Physician Assistant-Certified) | |
| Entity | Individual | |
| Enumeration date | 11/20/2006 | |
| Last updated | 09/29/2014 - About 12 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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BRENT M REILLY
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BRENT M REILLY, PA-C