Individual
SAMANTHA RYLLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
200 S ORANGE AVE STE 102, LIVINGSTON, NJ 07039-5817
(973) 322-7020
Mailing address
379 CAMPUS DR FL 4, SOMERSET, NJ 08873-1161
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00876300
NJ
363AS0400X
Surgical Physician Assistant
030278
NY
Other
Enumeration date
07/03/2023
Last updated
10/23/2024
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