Individual
BETH ANN RYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
195 COLLYER ST, SUITE 302, PROVIDENCE, RI 02904-1869
(401) 793-5144
(401) 793-5171
Mailing address
PO BOX 16149, RUMFORD, RI 02916-0697
(401) 453-9625
(401) 435-7069
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD11450
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2059649
—
MA
05
—
9003452
—
RI
Enumeration date
07/13/2005
Last updated
01/29/2020
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