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Individual

AMY RYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
200 HOSPITAL DR # 300, GLEN BURNIE, MD 21061-5884
(410) 837-2050
Mailing address
1111 N CHARLES ST, BALTIMORE, MD 21201-5505

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0091789
MD

Other

Enumeration date
03/21/2018
Last updated
07/29/2021
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