Provider Demographics
NPI:1093970287
Name:GERRY, RYAN R (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:R
Last Name:GERRY
Suffix:
Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:1153 CENTRE ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02130-3446
Mailing Address - Country:US
Mailing Address - Phone:617-983-7212
Mailing Address - Fax:617-983-7870
Practice Address - Street 1:1153 CENTRE ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02130-3446
Practice Address - Country:US
Practice Address - Phone:617-983-7212
Practice Address - Fax:617-982-7870
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-28
Last Update Date:2023-11-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AK6493208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery