Individual
TIMOTHY J RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6 W MILL ST, MEDFIELD, MA 02052-1507
(508) 359-7229
(508) 359-5363
Mailing address
PO BOX 382, MEDFIELD, MA 02052-0382
(508) 359-7229
(508) 359-5363
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1813
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002379
NEIGHBORHOOD HEALTH PLAN
MA
01
—
001813
TUFTS HEALTH PLAN
MA
05
—
0361771
—
MA
01
—
2704474
UNITED HEALTH CARE
MA
01
—
33218
HARVARD PILGRIM HEALTH
MA
01
—
RYY70835
BLUE SHEILD OF MA
MA
01
—
S026486
CHAMPUS
MA
Enumeration date
10/28/2005
Last updated
11/09/2010
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