Ryan Paul Balthaser, PA
Physician Assistant in Gardner, MA. Individual provider (NPI-1).
NPI number1124569710
StatusActive
Last updated in NPPESMar 15, 2017
Details
- NPI
- 1124569710
- Entity type
- Individual (NPI-1)
- Name
- Mr. Ryan Paul Balthaser
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 15, 2017
- Last updated
- Mar 15, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA6065 | MA | Yes |
Practice location
725 Timpany BlvdGardner, MA 01440-3453
Phone 978-632-8100
Mailing address
725 Timpany BlvdGardner, MA 01440-3453
Phone 978-632-8100
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All 19 Physician Assistant providers in Gardner · All 725 providers in Gardner
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