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Organization

DR. IRENE M. RYAN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. IRENE M RYAN D.C. (PHYSICAN)
(609) 345-3686
Entity
Organization

Contact information

Practice address
25 N ALBANY AVE, ATLANTIC CITY, NJ 08401-3569
(609) 345-3686
(609) 345-3698
Mailing address
25 N ALBANY AVE, ATLANTIC CITY, NJ 08401-3569
(609) 345-3686
(609) 345-3698

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MCO 1914
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0116918000
AMERIHEALTH
NJ
Enumeration date
10/04/2006
Last updated
06/25/2008
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