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Individual

DR. AMY L RYAN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
319 LONGWOOD AVE, BOSTON, MA 02115-5728
(617) 355-7318
(617) 277-7834
Mailing address
71 ORCHARD FARM RD, YORK, ME 03909-1331
(207) 363-6959

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
57778
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3037510
MA
Enumeration date
04/13/2006
Last updated
07/08/2007
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