Individual
ANGELA RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
PEDIATRIC NEONATOLOGY UNIT, 55 FRUIT STREET CFND 442, BOSTON, MA 02114
(617) 724-2165
Mailing address
MASS GENERAL PHYSICIANS ORGANIZATION INC, PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
224023
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0341240
—
MA
01
—
NP9894
B S
MA
Enumeration date
11/28/2006
Last updated
07/08/2007
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