Doctor Name: | MR. RYAN ANTHONY FERET |
NPI Number: | 1033520564 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 25MP00332700 |
Business Practice Address: | 99 Highway 37 W Toms River, NJ - 087556423 |
Business Phone Number: | 7325578000 |
Business Fax Number: | |
Mailing Address: | 3 Century Dr, PARSIPPANY |
State: | NJ |
Postal Code: | 070544610 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/19/2014 |
NPI Last Update Date: | 05/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 25MP00332700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |