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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RYAN CHANNICK, M.D.

Active

DR. RYAN CHANNICK, M.D. is a Sports Medicine (PM&R) healthcare provider located in EGG HARBOR TOWNSHIP, New Jersey. NPI 1578822730 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (PM&R) · EGG HARBOR TOWNSHIP, NJ

Registration Details

NPI Number
1578822730
Provider Type
Individual
Gender
Male
NPI Issued
May 9, 2012 (14.307222989738 yrs)
Last Updated
Nov 26, 2021
Licenses
25MA10209400 (NJ)
MT201720 (PA)
25MA10209400 (NJ)

Practice Information

Address
2500 ENGLISH CREEK AVE STE 1300
EGG HARBOR TOWNSHIP, NJ, 082345598
Browse NJ providers · Browse ZIP 08234
Phone
8003219999
Fax
2674791321
Primary Specialty
Sports Medicine (PM&R)
2081S0010X
Additional Specialty
Sports Medicine (PM&R)
Additional Specialty
Sports Medicine (PM&R)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.