Individual
DR. DANIEL PATRICK RYAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, WRN 1121, BOSTON, MA 02114-2696
(617) 726-8878
(617) 726-2167
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
52328
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3023648
—
MA
01
—
712554
TUFTS HEALTH PLAN
MA
01
—
J02917
BCBS MA
MA
Enumeration date
10/31/2005
Last updated
07/08/2007
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