Individual
DR. RYAN JOSEPH POLSELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3982 WOODLAND RETREAT BLVD, NEW PORT RICHEY, FL 34655-4593
(844) 546-5871
Mailing address
3982 WOODLAND RETREAT BLVD, NEW PORT RICHEY, FL 34655-4593
(445) 465-8718
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME 121176
FL
208D00000X
General Practice Physician
ME 121176
FL
261QR0207X
Mobile Mammography Clinic/Center
ME121176
FL
Other
Enumeration date
02/27/2007
Last updated
05/24/2022
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