Individual
DR. MATTHEW LOUIS GOLAND-VAN RYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 HOWARD AVE, NEW HAVEN, CT 06519-1369
(203) 785-2815
Mailing address
326 WASHINGTON ST, NORWICH, CT 06360-2740
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
57322
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57322
CONNECTICUT STATE LICENSE
CT
Enumeration date
03/20/2013
Last updated
11/18/2021
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