Individual
RYAN GUILBAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1018728
MA
207X00000X
Orthopaedic Surgery Physician
1659936405
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2019
Last updated
06/07/2024
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