Provider Demographics
NPI:1497744213
Name:RYTER, EDWARD K (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:K
Last Name:RYTER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:280 CHESTNUT STREET
Mailing Address - Street 2:2ND FL
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01199-1001
Mailing Address - Country:US
Mailing Address - Phone:413-794-5700
Mailing Address - Fax:413-794-1629
Practice Address - Street 1:470 GRANBY ROAD
Practice Address - Street 2:SUITE 1
Practice Address - City:SOUTH HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01075-3218
Practice Address - Country:US
Practice Address - Phone:413-533-3926
Practice Address - Fax:413-794-8732
Is Sole Proprietor?:No
Enumeration Date:2005-10-14
Last Update Date:2018-03-01
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Provider Licenses
StateLicense IDTaxonomies
MA80869207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA20682940Medicaid
F65223Medicare UPIN
MA20682940Medicaid