Reilly, Michael H

Reilly, Michael H is an individual health care provider with primary practice located at 223 N Van Dien Ave , Ridgewood NJ 07450-2726. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Reilly, Michael H can be contacted via phone (201) 447-8242.

Contact Information

Primary practice address
223 N Van Dien Ave Ridgewood NJ 07450-2726
Phone: (201) 447-8242
Fax: (201) 447-8657
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 25MA03562000 New Jersey
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 123239-1 New York

Profile Details

NPI number 1609940246
LBN Legal business name Reilly, Michael H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Sep 21st, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609940246 NPPES
New Jersey MEDICAID 4692501

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