Male or Other

Dr. Richard Reilly C.A. L.AC.

Full Name

Dr. Richard Reilly C.A. L.AC.

NPI Number

1033249396

NPI Type

Individual Provider

Gender

Male

Enumeration Date

03/06/2007

Specialties

(Taxonomies)

Code

171100000X
111N00000X

Primary Taxonomy

No
No

Licenses

State

New Jersey
New Jersey

License Number

25MZ00008100
38MC00146400

Contact
Information

Purpose

Mailing
Location

Address

70 PARK ST
70 PARK ST

City

Montclair
Montclair

State

NJ
NJ

Postal Code

07042-5907
07042-5907

Country

US
US

Telephone Number

(973) 744-8771
(973) 744-8771

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address