Organization
PULMONARY AND SLEEP PHYSICIANS OF SOUTH JERSEY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN RYAN M.D. (PRESIDENT)
(856) 778-4640
Entity
Organization
Contact information
Practice address
204 ARK RD BLDG I, STE 206, MOUNT LAUREL, NJ 08054-3100
(856) 778-4640
(856) 778-0119
Mailing address
204 ARK RD BLDG I, STE 206, MOUNT LAUREL, NJ 08054-3100
(856) 778-4640
(856) 778-0119
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2818604
—
NJ
Enumeration date
12/14/2006
Last updated
05/20/2010
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