Individual
DR. RYAN Z CHIPPENDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
725 ALBANY STREET, SHAPIRO 9, SUITE A, BOSTON, MA 02118
(617) 638-6100
(617) 638-6179
Mailing address
801 ALBANY ST, FL GROUND, BOSTON, MA 02119-2560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
243087
MA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
243087
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110086420A
—
MA
Enumeration date
04/30/2008
Last updated
05/08/2020
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