Individual ProviderGamal Ryan AlwanCounselorBehavioral Health & Social Service ProvidersPractice Address280 Jackson Rd, Atco, NJ 08004-1645(856) 262-8920PECOS EnrollmentBased on the most recent information from CMS, provider Gamal Ryan Alwan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1588934954Provider TypeIndividualFull NameAlwan, Gamal RyanGenderMaleSole ProprietorNoEnumeration Date1/3/2012Last Updated1/3/2012Contact InformationPractice LocationPractice Address280 Jackson Rd, Atco, NJ 08004-1645Phone(856) 262-8920FaxUnlisted FaxMailing LocationMailing Address280 Jackson Rd, Atco, NJ 08004-1645PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer