Individual
MARK RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6 HATFIELD ST, NORTHAMPTON, MA 01060-1556
(413) 549-8400
Mailing address
6 HATFIELD ST, NORTHAMPTON, MA 01060-1556
(413) 549-8400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/04/2019
Last updated
02/25/2020
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