Individual
DR. RYAN JOSEPH POLSELLI
Active
Individual
DR. RYAN JOSEPH POLSELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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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