Individual
J RYAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 SARGENT DR, NEW HAVEN, CT 06511-6100
(203) 785-2140
(203) 785-3419
Mailing address
PO BOX 9805, 300 GEORGE ST 6TH FLR, NEW HAVEN, CT 06536-0805
(203) 785-7998
(203) 785-6414
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
045593
CT
Other
Enumeration date
09/28/2007
Last updated
11/27/2007
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