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Individual

THOMAS J RYAN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
96 CAMPUS DR, SUITE 1, SCARBOROUGH, ME 04074
(207) 396-5611
Mailing address
301C US ROUTE 1, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
MD13348
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
281510099
ME
Enumeration date
01/27/2006
Last updated
07/12/2018
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