Healthcare Provider Details

I. General information

NPI: 1447384730
Provider Name (Legal Business Name): JAMES SCOTT REILEY N.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 GLEN ROAD
SANDY HOOK CT
06482
US

IV. Provider business mailing address

483A HERITAGE VILLAGE
SOUTHBURY CT
06488
US

V. Phone/Fax

Practice location:
  • Phone: 203-426-6334
  • Fax:
Mailing address:
  • Phone: 203-264-7246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number000277
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: