Individual
DYLAN MICHAEL RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 968-7965
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00552700
NJ
Other
Enumeration date
10/07/2019
Last updated
12/22/2023
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