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Organization

EDWARD A RYAN, MD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD A RYAN MD (PRESIDENT)
(781) 721-0447
Entity
Organization

Contact information

Practice address
955 MAIN ST, STE 108, WINCHESTER, MA 01890-1961
(781) 721-0447
(781) 721-2250
Mailing address
340 MAIN ST, STE. 670, WORCESTER, MA 01608-1604
(508) 754-3566
(508) 798-8012

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9741275
MA
Enumeration date
07/19/2005
Last updated
08/03/2011
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