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1093417768
RYAN EDWARD WEISS
DERBY, CT
NPI
1093417768
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 6117)
Enumeration Date
2023-03-20
Last Update Date
2023-06-22
Business Address
RYAN EDWARD WEISS PA-C
130 DIVISION ST
DERBY, CT 06418-1326
Phone number: 203-735-7421
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Mailing Address
RYAN EDWARD WEISS PA-C
190 MARSHALL ST
WINSTED, CT 06098-2272
Phone number: 860-459-5114
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