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1831201557
JASON W RYAN
FARMINGTON, CT
NPI
1831201557
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: MA 216735)
Enumeration Date
2006-08-31
Last Update Date
2022-09-29
Business Address
Dr. JASON W RYAN MD
263 FARMINGTON AVE MAIN BUILDING, 2ND FLOOR
FARMINGTON, CT 06030-2202
Phone number: 860-679-3343
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Mailing Address
Dr. JASON W RYAN MD
263 FARMINGTON AVE PROVIDER ENROLLMENT
FARMINGTON, CT 06030-2212
Phone number: 860-679-7503
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