Individual
ANNE RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(651) 328-9688
Mailing address
1099 GERMANTOWN AVE APT G1011, PHILADELPHIA, PA 19123-0002
(651) 328-9688
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
PA
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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