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Individual

DR. CAROLYN GRETCHEN RYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
847 EASTON RD, SUITE 2500, WARRINGTON, PA 18976-2906
(215) 918-5555
(215) 918-5560
Mailing address
847 EASTON RD, SUITE 2500, WARRINGTON, PA 18976-2906
(215) 918-5555
(215) 918-5560

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS007259L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0552322000
KEYSTONE / IBC
PA
01
1244173
CIGNA
PA
01
4248146
AETNA
PA
01
715760
BLUE SHIELD
PA
01
P00075065
RAILROAD MEDICARE
PA
Enumeration date
10/17/2006
Last updated
06/23/2008
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