| Doctor Name: | DR. JOHN F REILLY |
| NPI Number: | 1053303818 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 040166 |
| Business Practice Address: | 2 Ivy Brook Rd Suite 105 Shelton, CT - 064846416 |
| Business Phone Number: | 2039242900 |
| Business Fax Number: | 2039241300 |
| Mailing Address: | 2 Ivy Brook Rd, Suite 105 SHELTON |
| State: | CT |
| Postal Code: | 064846416 |
| Phone Number: | 2039242900 |
| Fax Number: | 2039241300 |
| NPI Enumeration Date: | 08/18/2005 |
| NPI Last Update Date: | 01/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0122X |
| License Number: | 040166 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Plastic and Reconstructive Surgery |
| Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |