Individual provider · Type 1 NPI

Jennifer Thrasher Reilly, PA-C

Surgical Physician Assistant · Egg Harbor Township, NJ

NPI number 1104242916 Active

Practice location

2500 English Creek Ave
Egg Harbor Township, NJ 08234-5549

Mailing address

110 Knights Bridge Way
Mays Landing, NJ 08330-2051

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X25MP00330200 (NJ)

Surgical Physician Assistant: Definition to come...

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About NPI 1104242916

Jennifer Thrasher Reilly, PA-C's National Provider Identifier is 1104242916, issued on Mar 17, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Egg Harbor Township, NJ. The record was last updated on Mar 17, 2014.