MR. Shane Thomas Reilly, PA-C

NPI #1972010429 in South Weymouth, Massachusetts

Provider Information

NPI Number: 1972010429
Entity Type: Individual
Name: MR. Shane Thomas Reilly, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 5, 2018
Last Updated: May 22, 2023

Practice Location

Address: 55 FOGG RD
City: South Weymouth
State: Massachusetts
ZIP Code: 02190-2455
Phone: (781) 624-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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