Individual
RYANN MARY QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-6200
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
1015002
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110197693A
—
MA
Enumeration date
04/12/2016
Last updated
08/23/2023
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