Individual
DR. DAVID P RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, YAW 7E, BOSTON, MA 02114-2621
(617) 724-0245
(617) 724-3166
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-4000
(617) 643-1894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
150748
MA
207RX0202X
Medical Oncology Physician
Primary
150748
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150748
TUFTS HEALTH PLAN
MA
05
—
3174158
—
MA
01
—
J18418
BCBS MA
MA
Enumeration date
11/11/2005
Last updated
12/12/2012
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