IndividualActive
John Reilly
NPI 1275529661 · Colon & Rectal Surgery Physician · Erie, PA
Provider details
- NPI number
- 1275529661
- Entity type
- Individual
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- MD021584E (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
300 State St Fl 4
4th Floor, Suite 401
Erie, PA 16507-1427
Phone: (814) 877-8680
Approximate (ZIP-level) locationGet directions
Mailing address
300 State St Fl 4
Erie, PA 16507-1427
Registry dates
- Enumerated
- 2005-09-21
- Last updated
- 2021-03-25
- Certified
- 2019-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.