Individual
RYAN JAMES BACHRACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-6051
Mailing address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-6051
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4048
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110161937A
—
MA
Enumeration date
02/01/2018
Last updated
10/14/2025
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