MEDICARE: JOSEPH P RILEY DO LLC

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	207V00000X	Obstetrics & Gynecology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407827322
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOSEPH P RILEY DO LLC

Provider Business Mailing Address
First Line	:	1051 W SHERMAN AVE
Second Line	:
City	:	VINELAND
State	:	NJ
Zip	:	08360-6931
Country	:	US
Telephone Number	:	856-205-1500
Fax Number	:	856-205-1359

Provider Business Practice Location Address
First Line	:	1051 W SHERMAN AVE
Second Line	:
City	:	VINELAND
State	:	NJ
Zip	:	08360-6931
Country	:	US
Telephone Number	:	856-205-1500
Fax Number	:	856-205-1359

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JOSEPH P RILEY
Credential	:	DO
Telephone Number	:	856-205-1500

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	10/09/2007

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Directions to “JOSEPH P RILEY DO LLC ” Practice Location

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