Individual
CAROL MARIE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 CORPORATE PL, MIDDLETOWN, RI 02842-6277
(401) 273-7100
Mailing address
1 CORPORATE PL, MIDDLETOWN, RI 02842-6277
(401) 273-7100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7868
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7868
MD LICENSE NUMBER
RI
Enumeration date
07/25/2006
Last updated
07/08/2007
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