Individual
DR. SHARON RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2107 HIGHWAY 516, OLD BRIDGE, NJ 08857-1746
(732) 952-0626
(732) 463-6071
Mailing address
2107 HIGHWAY 516, OLD BRIDGE, NJ 08857-1746
(732) 952-0626
(732) 463-6071
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA53674
NJ
207QG0300X
Geriatric Medicine (Family Medicine) Physician
25MA05367400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4561601
—
NJ
Enumeration date
03/14/2006
Last updated
04/10/2024
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