Individual
RYAN HALLORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8 APPLE ST, NORWALK, CT 06851-4104
(203) 803-8690
Mailing address
8 APPLE ST, NORWALK, CT 06851-4104
(203) 803-8690
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/18/2020
Last updated
12/22/2021
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