Samantha Ryllo, PA | |
200 S Orange Ave Ste 102, Livingston, NJ 07039-5817 | |
(973) 322-7020 | |
Not Available |
Full Name | Samantha Ryllo |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Location | 200 S Orange Ave Ste 102, Livingston, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477230308 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AS0400X | Physician Assistant - Surgical | 030278 (New York) | Secondary |
363A00000X | Physician Assistant | 25MP00876300 (New Jersey) | Primary |
Mailing Address | Practice Location Address |
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Samantha Ryllo, PA 379 Campus Dr Fl 4, Somerset, NJ 08873-1161 Ph: () - | Samantha Ryllo, PA 200 S Orange Ave Ste 102, Livingston, NJ 07039-5817 Ph: (973) 322-7020 |
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