Individual
MR. RYAN PAUL BALTHASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
725 TIMPANY BLVD, GARDNER, MA 01440-3453
(978) 632-8100
Mailing address
725 TIMPANY BLVD, GARDNER, MA 01440-3453
(978) 632-8100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6065
MA
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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