Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 60014 | MA |
N | 207VG0400X | Gynecologist | 60014 | MA |
NPI | 1124065412 |
---|---|
Provider Name | Dr. David Alden Ryley |
First Address | Brookline, MA 02445-7237 |
Second Address | Brookline, MA 02445-7237 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 31/08/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0197041 | (05) | MA |
E10381 | (02) | MA |