Individual
JACLYN M. RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1000 ATLANTIC AVE, CAMDEN, NJ 08104-1132
(856) 246-3000
Mailing address
307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
(856) 686-4300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00161300
NJ
363A00000X
Physician Assistant
Primary
MA051126
PA
Other
Enumeration date
05/10/2006
Last updated
10/22/2020
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