Individual
DR. RYAN RICHARD SORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
213 W LACEY RD, FORKED RIVER, NJ 08731-3507
(609) 693-7800
(609) 693-8004
Mailing address
213 W LACEY RD, FORKED RIVER, NJ 08731-3507
(609) 693-7800
(609) 693-8004
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
270A00297100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0325830001
DME MEDICARE
NJ
05
—
2180006
—
NJ
Enumeration date
07/19/2006
Last updated
12/15/2008
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