MEDICARE: DR. JOHN F REILLY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0122X	Plastic and Reconstructive Surgery Physician	040166	CT

General Provider Information

NPI Number	:	1053303818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN F REILLY MD

Provider Business Mailing Address
First Line	:	2 IVY BROOK RD
Second Line	:	SUITE 105
City	:	SHELTON
State	:	CT
Zip	:	06484-6416
Country	:	US
Telephone Number	:	203-924-2900
Fax Number	:	203-924-1300

Provider Business Practice Location Address
First Line	:	2 IVY BROOK RD
Second Line	:	SUITE 105
City	:	SHELTON
State	:	CT
Zip	:	06484-6416
Country	:	US
Telephone Number	:	203-924-2900
Fax Number	:	203-924-1300

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	01/26/2015

Similar Medicare Providers

1043283302 — STEPHEN R WOODWORTH MD
Practice Location Address:

2 IVY BROOK RD , SUITE 205
SHELTON, CT
06484-6416

Practice Phone: 203-922-9466
Practice Fax: 203-922-9477

1679538334 — DR. ABRAHAM MINTZ M.D.
Practice Location Address:

2 IVY BROOK RD STE 210
SHELTON, CT
06484-6416

Practice Phone: 203-372-6460
Practice Fax: 203-372-6470

1427087980 — DR. SCOTT ALAN VANDER VENNET MD
Practice Location Address:

2 IVY BROOK RD STE 125
SHELTON, CT
06484-6416

Practice Phone: 203-954-0080
Practice Fax: 203-954-0084

1760413538 — DR. NAMI BAYAN MD
Practice Location Address:

2 IVY BROOK RD , STE 120
SHELTON, CT
06484-6416

Practice Phone: 203-513-2642
Practice Fax: 203-513-2638

1538249842 — PLASTIC AND RECONSTRUCTIVE SURGERY SPECIALISTS LLC
Practice Location Address:

2 IVY BROOK RD , SUITE 105
SHELTON, CT
06484-6416

Practice Phone: 203-924-2900
Practice Fax: 203-924-1300

1952432916 — MR. MARK CHRISTOPHER MARTIRE PT
Practice Location Address:

2 IVY BROOK RD
SHELTON, CT
06484-6416

Practice Phone: 203-924-2853
Practice Fax:

Directions to “ DR. JOHN F REILLY MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.