Provider Demographics
NPI:1881037901
Name:COYLE, RYAN MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:MICHAEL
Last Name:COYLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1050 US HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:AVENEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07001-1548
Mailing Address - Country:US
Mailing Address - Phone:732-938-6090
Mailing Address - Fax:732-938-5680
Practice Address - Street 1:1050 US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:AVENEL
Practice Address - State:NJ
Practice Address - Zip Code:07001-1548
Practice Address - Country:US
Practice Address - Phone:732-938-6090
Practice Address - Fax:732-938-5680
Is Sole Proprietor?:No
Enumeration Date:2013-04-08
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA10513000207X00000X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery