Provider Demographics
NPI:1457675589
Name:WALKER, RYAN D (MD)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:D
Last Name:WALKER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1020 NORTH KINGS HIGHWAY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034
Mailing Address - Country:US
Mailing Address - Phone:856-602-4000
Mailing Address - Fax:856-842-5109
Practice Address - Street 1:200 BOWMAN DRIVE
Practice Address - Street 2:SUITE D-285
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043
Practice Address - Country:US
Practice Address - Phone:856-602-4000
Practice Address - Fax:856-842-5109
Is Sole Proprietor?:No
Enumeration Date:2010-03-18
Last Update Date:2022-09-01
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA09871200207YX0905X, 207YP0228X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology
No207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery