MEDICARE: DR. W TERENCE 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	208C00000X	Colon & Rectal Surgery Physician	MD059236L	PA

General Provider Information

NPI Number	:	1669433785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. W TERENCE REILLY MD

Provider Business Mailing Address
First Line	:	406 DELAWARE AVE
Second Line	:
City	:	BETHLEHEM
State	:	PA
Zip	:	18015-1469
Country	:	US
Telephone Number	:	610-866-2600
Fax Number	:	610-861-7640

Provider Business Practice Location Address
First Line	:	1530 8TH AVE
Second Line	:
City	:	BETHLEHEM
State	:	PA
Zip	:	18018-1883
Country	:	US
Telephone Number	:	486-526-2600
Fax Number	:

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

Provider Enumeration Date	:	03/29/2006
Last Update Date	:	01/22/2026

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Directions to “ DR. W TERENCE REILLY MD” Practice Location

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