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Individual

RICHARD G BRYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
120 DUDLEY ST, SUITE 303, PROVIDENCE, RI 02905-2436
(401) 369-7773
(401) 369-7336
Mailing address
120 DUDLEY ST, SUITE 303, PROVIDENCE, RI 02905-2436
(401) 369-7773
(401) 369-7336

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
225844
MA
207W00000X
Ophthalmology Physician
Primary
MD11942
RI
207WX0107X
Retina Specialist (Ophthalmology) Physician
225844
MA
207WX0107X
Retina Specialist (Ophthalmology) Physician
MD11942
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0037063
NEIGHBORHOOD MA
MA
01
050493136
UNITED
RI
01
1147102
AETNA
RI
05
2126478
MA
01
26587
RI BLUE SHIELD
RI
01
31547
NEIGHBORHOOD RI
RI
01
412894
BLUE CHIP
RI
01
495317
TUFTS
RI
01
603940
TUFTS GROUP #
RI
01
6411654
CIGNA
RI
05
7058056
RI
05
9001520
RI
05
9004425
MA
01
AA43800
HARVARD
RI
01
J40022
MASS BLUE SHIELD
RI
01
P00266943
RAILROAD MEDICARE
RI
Enumeration date
12/22/2005
Last updated
04/06/2017
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