Individual
TIMOTHEA A RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
546 S BROAD ST, SUITE 1D, MERIDEN, CT 06450
(203) 235-2511
(203) 639-0809
Mailing address
546 S BROAD ST, MERIDEN, CT 06450-6600
(203) 235-2511
(203) 639-0809
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
046408
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427170596
—
CT
Enumeration date
04/06/2007
Last updated
02/04/2022
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