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Individual

DR. RYAN GARRITY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
180 MASSACHUSETTS AVE, SUITE 302, ARLINGTON, MA 02474-8448
(339) 707-6041
(339) 707-6726
Mailing address
28 PONTIAC RD, WALPOLE, MA 02081-4255

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
7977
MA
103G00000X
Clinical Neuropsychologist
PS00771
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
W06150
BLUE CROSS/BS OF MA
MA
Enumeration date
07/17/2006
Last updated
07/08/2007
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