Provider Demographics
NPI:1649243973
Name:RYNNE, CHRISTOPHER W (MD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:W
Last Name:RYNNE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2 POND PARK RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-4309
Mailing Address - Country:US
Mailing Address - Phone:781-337-5555
Mailing Address - Fax:781-335-6047
Practice Address - Street 1:2 POND PARK RD
Practice Address - Street 2:SUITE 102
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-4309
Practice Address - Country:US
Practice Address - Phone:781-337-5555
Practice Address - Fax:781-335-6047
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2012-02-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA47462207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA6188494Medicaid
MA6188494Medicaid
MAB76141Medicare UPIN