MEDICARE: MOLLY ELIZABETH RYAN MS CGC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	170300000X	Genetic Counselor (M.S.)

General Provider Information

NPI Number	:	1326660499
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOLLY ELIZABETH RYAN MS CGC

Provider Business Mailing Address
First Line	:	2995 CHAPEL AVE W APT 4C
Second Line	:
City	:	CHERRY HILL
State	:	NJ
Zip	:	08002-3901
Country	:	US
Telephone Number	:	518-522-2196
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 CHESTNUT ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-4802
Country	:	US
Telephone Number	:	215-955-1011
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2020
Last Update Date	:	01/02/2026

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