Jacquelyn Reilly in Springfield - Otolaryngology
Jacquelyn Reilly - NPI 1033104328
Jacquelyn Reilly is a Otolaryngology in Springfield, Massachusetts. Jacquelyn Reilly practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Jacquelyn Reilly is 1033104328. The last update date is 2009-10-05.
Jacquelyn Reilly's current location address is 100 Wason Avenue, Springfield, Massachusetts. You can contact this provider via phone number 4137327426 and fax number 4137342371. The mailing address for Jacquelyn Reilly is 100 Wason Avenue, Springfield, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacquelyn Reilly |
|---|---|
| Address | 100 Wason Avenue, Springfield, Massachusetts |
| Phone Number | 4137327426 |
| Fax Number | 4137342371 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1033104328 |
|---|---|
| Provider Enumeration Date | 2005-09-13 |
| Last Updated Date | 2009-10-05 |
Provider Mailing Address Detail
| Address | 100 Wason Avenue |
|---|---|
| City | Springfield |
| State | Massachusetts (MA) |
| Post Code | 1107 |
| Phone Number | 4137327426 |
| Fax Number | 4137342371 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 217113 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2018675 | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jacquelyn Reilly by the Centers for Medicare & Medicaid Services?
The Jacquelyn Reilly has been assigned the NPI (National Provider Identifier) 1033104328 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Jacquelyn Reilly's physical address?
The Jacquelyn Reilly is physically located at 100 Wason Avenue, in the city of Springfield, MA, with the postal code 1107.
What is Jacquelyn Reilly's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jacquelyn Reilly is Otolaryngology, and the taxonomy code that classifies this field of practice is 207Y00000X.
On what date did the Jacquelyn Reilly receive its 1033104328 assignment from the Centers for Medicare & Medicaid Services?
The Jacquelyn Reilly was assigned its 1033104328 by the Centers for Medicare & Medicaid Services on 2005-09-13.
As of what date were the details related to Jacquelyn Reilly most recently updated or revised?
The information pertaining to Jacquelyn Reilly, including its address, specialty, and other relevant details, was last updated or revised on 2009-10-05.