Organization
GARDEN STATE OBGYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN COLELLA M.D. (MANAGING PARTNER)
(856) 424-3323
Entity
Organization
Contact information
Practice address
2401 E EVESHAM RD, SUITE A, VOORHEES, NJ 08043-9590
(856) 424-3323
Mailing address
2401 E EVESHAM RD, SUITE A, VOORHEES, NJ 08043-9590
(856) 424-3323
Taxonomy
Speciality
Code
Description
License number
State
364SW0102X
Women's Health Clinical Nurse Specialist
Primary
26NJ00597000
NJ
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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