Individual
MR. RYAN CHRISTIAN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 785-2618
(203) 737-2221
Mailing address
4 COURTNEY LN, SOUTHAMPTON, MA 01073-9647
(413) 695-5087
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1192561
—
363AM0700X
Medical Physician Assistant
1192561
—
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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