Individual
RYAN IMELIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
78 SUTTON AVE, OXFORD, MA 01540-1813
(508) 499-1760
(508) 449-1757
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
11/03/2025
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