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Contact Information

RYAN CHANNICK, MD
2500 ENGLISH CREEK AVE STE 1300
EGG HARBOR TOWNSHIP, NJ08234-5598
 Phone: 800-321-9999
 Fax: 267-479-1321
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
 

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for RYAN CHANNICK · (Male)

NPI # 1578822730
Status Active
Credentials MD
Entity Individual
Enumeration date 05/09/2012
Last updated 11/26/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA10209400
  • PA License # MT201720
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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