Individual
MR. RYAN SCOTT RAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
120 WHITE HORSE PIKE STE 103B, HADDON HEIGHTS, NJ 08035-1938
(856) 546-3900
(856) 546-3908
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 546-3900
(856) 546-3908
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA061962
PA
363AS0400X
Surgical Physician Assistant
Primary
25MP00602500
NJ
Other
Enumeration date
11/30/2020
Last updated
10/30/2024
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