Brent M Reilly is a Surgical in Bridgeport, Connecticut. Brent M Reilly practices all healthcare services and medical treatments related to Surgical. The NPI Number for Brent M Reilly is 1063586147. The last update date is 2014-09-29.
Brent M Reilly's current location address is 2800 Main St, Bridgeport, Connecticut. You can contact this provider via phone number 2035766000. The mailing address for Brent M Reilly is 2800 Main St, Bridgeport, Connecticut. To know further, please read the information below!
Provider Profile Detail
Provider Name | Brent M Reilly |
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Address | 2800 Main St, Bridgeport, Connecticut |
Phone Number | 2035766000 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1063586147 |
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Provider Enumeration Date | 2006-11-20 |
Last Updated Date | 2014-09-29 |
Provider Mailing Address Detail
Address | 2800 Main St |
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City | Bridgeport |
State | Connecticut (CT) |
Post Code | 66064201 |
Phone Number | 2035766000 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Surgical |
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Taxonomy | 363As0400X |
Licence No | 1824 |
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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What is the Brent M Reilly's unique identification number?
The Brent M Reilly has been assigned the NPI (National Provider Identifier) Number 1063586147 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Brent M Reilly is physically located?
The Brent M Reilly is physically situated at the following address: 2800 Main St, Bridgeport, CT, 66064201.
When did the Brent M Reilly receive its 1063586147?
The Brent M Reilly was issued its 1063586147 on 2006-11-20, which is the date when the organization was assigned this unique identifier.
As of what date were the Brent M Reilly's details last updated?
The information pertaining to the Brent M Reilly, including its address, specialty, and other details, was most recently updated on 2014-09-29.
As of what date were the details related to Brent M Reilly most recently updated or revised?
The information pertaining to Brent M Reilly, including its address, specialty, and other relevant details, was last updated or revised on 2014-09-29.