Provider Demographics
NPI:1184798456
Name:SEARLE, RYAN STUART (MD)
Entity type:Individual
Prefix:MR
First Name:RYAN
Middle Name:STUART
Last Name:SEARLE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:350 LOWELL STREET
Mailing Address - Street 2:COMPREHENSIVE HEALTH SERVICES - RAYTHEON HEALTH CENTER
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810
Mailing Address - Country:US
Mailing Address - Phone:978-470-5641
Mailing Address - Fax:978-470-6272
Practice Address - Street 1:350 LOWELL STREET
Practice Address - Street 2:COMPREHENSIVE HEALTH SERVICES - RAYTHEON HEALTH CENTER
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810
Practice Address - Country:US
Practice Address - Phone:978-470-5641
Practice Address - Fax:978-470-6272
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2013-08-06
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Provider Licenses
StateLicense IDTaxonomies
MA48682207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA729898OtherTUFTS
MA2081784Medicaid
B72674Medicare UPIN
MAB08028Medicare ID - Type Unspecified