Individual provider · NPI-1

Ryan Addlesberger

Student in an Organized Health Care Education/Training Program · Camden, NJ

NPI number1053108092
StatusActive
Last updated in NPPESApr 23, 2025

Details

NPI
1053108092
Entity type
Individual (NPI-1)
Name
Ryan Addlesberger
Sex
Male
Sole proprietor
No
Enumeration date
Apr 23, 2025
Certification date
Apr 23, 2025
Last updated
Apr 23, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1 Cooper Plz
Camden, NJ 08103-1461

Phone 856-979-7929

Mailing address

12002 Lavender Pl
Philadelphia, PA 19154-2604

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Student in an Organized Health Care Education/Training Program providers in Camden, NJ