Provider Demographics
NPI:1992899231
Name:LILLEY, EILEEN R (MD)
Entity type:Individual
Prefix:
First Name:EILEEN
Middle Name:R
Last Name:LILLEY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:745 ROUTE 202/206
Mailing Address - Street 2:SUITE 301
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-1758
Mailing Address - Country:US
Mailing Address - Phone:908-231-1110
Mailing Address - Fax:908-526-4959
Practice Address - Street 1:745 ROUTE 202/206
Practice Address - Street 2:SUITE 301
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-1758
Practice Address - Country:US
Practice Address - Phone:908-231-1110
Practice Address - Fax:908-526-4959
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2015-10-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA06417300207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP00208971Medicare PIN
NJ040452MFLMedicare PIN