Individual
MS. KELLY RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7000
Mailing address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00333400
NJ
Other
Enumeration date
10/18/2006
Last updated
12/13/2023
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