Most Relevant Information
Provider Data
| NPI Number: | 1003381997 |
| Provider Name: | MARTHA REILLEY NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | R224996 |
Most Important Dates
| Enumeration Date: | 10/08/2018 |
| Last Updated: | 10/08/2018 |
Provider Practice Location
3500 BOSTON ST
BALTIMORE
MD
212245251
Practice Location Phone/Fax
| Phone: | 4432663943 |
| Fax: |
Provider Mailing Location
450 GARRISONVILLE RD STE 109
STAFFORD
VA
225541532
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |