Organization
HARRISON MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAY RYAN SANTOS M.D. (MEDICAL DOCTOR)
(973) 484-2584
Entity
Organization
Contact information
Practice address
332 HARRISON AVE, HARRISON, NJ 07029-1775
(973) 484-9216
(973) 484-9216
Mailing address
332 HARRISON AVE, HARRISON, NJ 07029-1775
(973) 484-9216
(973) 484-9216
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08446200
NJ
208000000X
Pediatrics Physician
25MA08446200
NJ
Other
Enumeration date
08/08/2011
Last updated
03/29/2012
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