Individual
ERIC N RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
667 AVENUE A, BAYONNE, NJ 07002-1851
(201) 858-5923
Mailing address
667 AVENUE A, BAYONNE, NJ 07002-1851
(201) 858-5923
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00070800
NJ
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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