Search › New Jersey › 225100000X
Ryan Dacillo
NPI 1790010353 · on the registry since 2009 · sole proprietor
Practice
- Address
- 1108 Knollwood Dr
Middletown, NJ 07748 - Phone
- (732) 320-3184
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225200000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-05-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey