Individual
DR. RYAN CASSILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
28-04 BROADWAY, FAIR LAWN, NJ 07410-3913
(201) 791-4434
Mailing address
28-04 BROADWAY, FAIR LAWN, NJ 07410-3913
(201) 791-4434
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MA09902700
NJ
207X00000X
Orthopaedic Surgery Physician
272553
NY
Other
Enumeration date
04/20/2010
Last updated
07/20/2016
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