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Individual

JOHN P. RYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
330 BORTHWICK AVE STE 101, PORTSMOUTH, NH 03801-4102
(603) 436-7171
Mailing address
330 BORTHWICK AVE STE 101, PORTSMOUTH, NH 03801-4102
(603) 436-7171
(508) 334-1977

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
21475
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110118218A
MA
Enumeration date
03/27/2016
Last updated
07/30/2021
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