Individual
DR. COLLEEN M RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT STREET, GRB 1302 TRAUMA AND SURGICAL CRITICAL CARE, BOSTON, MA 02114-2696
(617) 726-3184
(617) 724-8432
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
58911
MA
2086S0102X
Surgical Critical Care Physician
58911
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3040771
—
MA
01
—
728616
TUFTS HEALTH PLAN
MA
01
—
J07975
BCBS MA
MA
Enumeration date
07/19/2006
Last updated
09/11/2025
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