Individual
MR. RYAN J FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
54 MILLER ST STE 201, QUINCY, MA 02169-4725
(617) 481-3100
(617) 481-3105
Mailing address
362 N BEDFORD ST, EAST BRIDGEWATER, MA 02333-1148
(617) 481-3100
(617) 481-3105
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
014255
NY
363A00000X
Physician Assistant
Primary
4883
MA
Other
Enumeration date
10/27/2010
Last updated
10/26/2017
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