Individual
RYAN MILITANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 FRUIT STREET, WHITE 437, BOSTON, MA 02114
(617) 643-2652
Mailing address
55 FRUIT STREET, WHITE 437, BOSTON, MA 02114
(203) 247-3639
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
278172
MA
Other
Enumeration date
03/22/2016
Last updated
04/19/2021
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