RYAN GREGORY BASHOUR

BOSTON, MA
NPI1447931209
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Additional Taxonomies363AM0700X Physician Assistant, Medical
363AS0400X Physician Assistant, Surgical
Enumeration Date2023-07-26
Last Update Date2025-06-16
Business Address
Mr. RYAN GREGORY BASHOUR
55 FRUIT ST
BOSTON, MA 02114-2696
Phone number: 617-726-2000
Mailing Address
Mr. RYAN GREGORY BASHOUR
21 PYRAMID DR APT 511
HUNTINGTON, WV 25705-3267
Phone number: 304-376-2815