Individual
RYAN B SCANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
189A HIGH ST, NEWBURYPORT, MA 01950-3864
(603) 630-7333
Mailing address
85 SPRING ST, LACONIA, NH 03246-3113
(603) 524-7402
(603) 524-0945
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13643
NH
207Y00000X
Otolaryngology Physician
13643
NH
207YS0123X
Facial Plastic Surgery Physician
13643
NH
207YX0602X
Otolaryngic Allergy Physician
13643
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01Y012271NH01
BCBS
—
01
—
0742513
CIGNA
—
05
—
30207005
—
NH
01
—
7976870
AETNA
—
01
—
9607945
GHI
—
01
—
AA95773
HARVARD PILGRIM
—
01
—
I67437
ACS/HEALTHNET OF NE
—
Enumeration date
08/15/2006
Last updated
11/18/2013
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