Individual
THOMAS BALDWIN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3040 33RD ST, METAIRIE, LA 70001-2036
(504) 832-5500
(504) 832-5531
Mailing address
3000 PRYTANIA ST, NEW ORLEANS, LA 70115-3315
(504) 897-2600
(504) 832-5500
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
013269
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194395
—
LA
01
—
7847263
AETNA
LA
Enumeration date
09/13/2006
Last updated
07/09/2007
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