Healthcare Provider Details

I. General information

NPI: 1902112626
Provider Name (Legal Business Name): ANNA SARNO RYAN, M.D, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2010
Last Update Date: 08/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 ELM ST SUITE 101
MANCHESTER NH
03101-1217
US

IV. Provider business mailing address

1650 ELM ST SUITE 101
MANCHESTER NH
03101-1217
US

V. Phone/Fax

Practice location:
  • Phone: 603-626-7546
  • Fax: 603-626-7548
Mailing address:
  • Phone: 603-626-7546
  • Fax: 603-626-7548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number9710
License Number StateNH

VIII. Authorized Official

Name: DR. ANNA M.S. RYAN
Title or Position: M.D./PRESIDENT
Credential: M.D.
Phone: 603-626-7546