Individual
CHRIS RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
36 MADISON AVE, MADISON, NJ 07940-1434
(973) 408-3651
Mailing address
25 COOK AVE, MADISON, NJ 07940-1824
(973) 408-3651
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
NJ
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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