| Organization Name: | ELIZABETH REILEY MD PA |
| NPI Number: | 1023063344 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELIZABETH REILEY (OWNER) |
| Mailing Address: | 699 Teaneck Rd Teaneck |
| State: | NJ US |
| Postal Code: | 076664244 |
| Phone Number: | 2016929550 |
| Fax Number: | |
| NPI Enumeration Date: | 05/24/2006 |
| NPI Last Update Date: | 01/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2088P0231X |
| License Number: | MA050398 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Urology |
| Taxonomy Specialization: | Pediatric Urology |
| Taxonomy Definition: | Surgeons who can diagnose, treat, and manage children |