Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0011X | Interventional Cardiology | 258267 | MA |
N | 208000000X | Pediatrician | MT192836 | PA |
N | 2080P0202X | Pediatric Cardiologist | 258267 | MA |
NPI | 1023271749 |
---|---|
Provider Name | Dr. Ryan M Callahan |
First Address | Boston, MA 02115-5724 |
Second Address | Boston, MA 02115-5724 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2008 |
Last Update Date | 09/10/2020 |