Individual
ROSS RYAN MAITRE I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1333 E PUTNAM AVE, RIVERSIDE, CT 06878-1529
(203) 637-1496
Mailing address
30 DUNCAN DR, LATHAM, NY 12110-4304
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0017143
CT
Other
Enumeration date
11/26/2025
Last updated
11/26/2025
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