Individual
EDWARD A RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
955 MAIN ST, STE 108, WINCHESTER, MA 01890-1961
(787) 721-0447
(781) 721-2250
Mailing address
340 MAIN ST, STE. 670, WORCESTER, MA 01608-1604
(508) 754-3566
(508) 438-6368
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
71171
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2019191
—
MA
Enumeration date
07/20/2005
Last updated
10/18/2011
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