Individual
MR. THOMAS GERARD RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICAC
Contact information
Practice address
455 BOSTON POST RD, SUITE 203A, OLD SAYBROOK, CT 06475-1516
(860) 395-1119
Mailing address
455 BOSTON POST RD, SUITE 203A, OLD SAYBROOK, CT 06475-1516
(860) 395-1119
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000001
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013019462
VA
CT
Enumeration date
12/18/2014
Last updated
12/18/2014
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