# BRIAN O'MALLEY & WILSA J. RYDER, PTR

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Provincetown Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215984190
- **Authorized official:** WILSA J. RYDER (PARTNER)
- **Authorized official phone:** (508) 487-3505

## Contact information

- **Practice address:** 16 SHANK PAINTER RD, PROVINCETOWN, MA 02657-1343
- **Practice address phone:** (508) 487-3505
- **Practice address fax:** (508) 487-9023
- **Mailing address:** 16 SHANK PAINTER RD, PROVINCETOWN, MA 02657-1343
- **Mailing address phone:** (508) 487-3505
- **Mailing address fax:** (508) 487-9023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 05/27/2006
- **Last updated:** 09/11/2025