Brent M Reilly, PA-C
NPI #1063586147 in Bridgeport, Connecticut
Provider Information
- NPI Number
- 1063586147
- Entity Type
- Individual
- Name
- Brent M Reilly, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- PA-C
- Enumeration Date
- Nov 20, 2006
- Last Updated
- Sep 29, 2014
Practice Location
- Address
- 2800 MAIN ST
- Address 2
- ST.VINCENTS MULTISPECIALTY GROUP
- City
- Bridgeport
- State
- Connecticut
- ZIP Code
- 06606-4201
- Phone
- (203) 576-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Surgical — Surgical |
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