Individual
DR. RYAN COLLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
456 PROSPECT AVE, WEST ORANGE, NJ 07052-4112
(973) 731-6767
Mailing address
45 CHESTNUT ST # B, WEST ORANGE, NJ 07052-6119
(608) 578-7988
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB12427600
NJ
207Q00000X
Family Medicine Physician
295945
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2017
Last updated
10/30/2024
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