Individual
RYAN STAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2500 ENGLISH CREEK AVE STE 1202, EGG HARBOR TOWNSHIP, NJ 08234-5597
(609) 677-6000
(609) 677-6001
Mailing address
9 VICTORIA LN, OCEAN CITY, NJ 08226-1841
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00151900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1069586
NCCPA
NJ
Enumeration date
07/26/2006
Last updated
09/20/2021
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