Ryan, Colleen M

Ryan, Colleen M is an individual health care provider with primary practice located at 55 Fruit Street Grb 1302 Trauma And Surgical Critical Care, Boston MA 02114-2696. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Ryan, Colleen M can be contacted via phone (617) 726-3184.

Contact Information

Primary practice address
55 Fruit Street Grb 1302 Trauma And Surgical Critical Care Boston MA 02114-2696
Phone: (617) 726-3184
Fax: (617) 724-8432
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 58911 Massachusetts
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 58911 Massachusetts

Profile Details

NPI number 1366461378
LBN Legal business name Ryan, Colleen M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366461378 NPPES
Massachusetts MEDICAID 3040771
Massachusetts Other 728616
Massachusetts Other J07975

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