MEDICARE: RYNA THEN M.D.

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	2084N0400X	Neurology Physician	22710	NH
2	2084N0400X	Neurology Physician	111990	MT
3	2084N0400X	Neurology Physician	25MA09254600	NJ
4	2084N0400X	Neurology Physician	ME156441	FL
5	282N00000X	General Acute Care Hospital	25MA09254600	NJ
6	390200000X	Student in an Organized Health Care Education/Training Program
7	2084N0400X	Neurology Physician	MD485892	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427346303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYNA THEN M.D.

Provider Business Mailing Address
First Line	:	101 E OLNEY AVE STE 400
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19120-2470
Country	:	US
Telephone Number	:	215-456-7000
Fax Number	:	215-456-5926

Provider Business Practice Location Address
First Line	:	5401 OLD YORK RD STE 404
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19141-3046
Country	:	US
Telephone Number	:	215-456-7190
Fax Number	:	215-456-6635

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

Provider Enumeration Date	:	07/13/2011
Last Update Date	:	11/23/2024

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Directions to “ RYNA THEN M.D.” Practice Location

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