Individual
DR. RYAN ALLEN GRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 COOPER PLZ, 400 HADDON AVE, CAMDEN, NJ 08103-1461
(855) 632-2667
Mailing address
1 FEDERAL ST STE SW200, CAMDEN, NJ 08103-1155
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA10374300
NJ
208600000X
Surgery Physician
Primary
MT202429
PA
Other
Enumeration date
06/28/2012
Last updated
10/05/2020
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