Individual
DR. WALTER MATTHEW RYAN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2300 SOUTHWOOD DR, NASHUA, NH 03063-1818
(603) 577-4000
Mailing address
PO BOX 810, HANOVER, NH 03755-0810
(603) 308-1453
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
OS10177
FL
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
24463
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279624400
—
FL
Enumeration date
10/24/2005
Last updated
08/04/2023
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