Individual
DR. RYAN WESLEY CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H
Contact information
Practice address
175 CAMBRIDGE ST, 5TH FLOOR, BOSTON, MA 02114-2743
(617) 724-4380
(617) 724-4391
Mailing address
4 EMERSON PL, APT 704, BOSTON, MA 02114-2275
(773) 332-8178
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
036-113999
IL
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
245750
MA
Other
Enumeration date
05/27/2008
Last updated
11/01/2010
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