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1447683016
RYAN ROBERT GODFREY
BOSTON, MA
NPI
1447683016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: MA pa4769)
Enumeration Date
2013-08-18
Last Update Date
2014-07-14
Business Address
-- RYAN ROBERT GODFREY pa-c
55 FRUIT ST
BOSTON, MA 02114-2621
Phone number: 617-726-6100
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Mailing Address
-- RYAN ROBERT GODFREY pa-c
55 FRUIT ST
BOSTON, MA 02114-2621
Phone number: 617-726-6100
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