Individual
RYAN COELHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
170 CHANGEBRIDGE RD BLDG C3, MONTVILLE, NJ 07045-9112
(973) 575-5540
Mailing address
402 LIPPINCOTT DR, MARLTON, NJ 08053-4112
(856) 782-3300
(856) 504-8029
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00475600
NJ
Other
Enumeration date
06/12/2018
Last updated
01/15/2024
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