Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 238155 | NY |
N | 111NI0900X | Internist | 238155 | NY |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD 436772 | PA |
NPI | 1093926560 |
---|---|
Provider Name | Margaret Ting Ryan |
First Address | Bryn Mawr, PA 19010-3200 |
Second Address | Bryn Mawr, PA 19010-3200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2007 |
Last Update Date | 05/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
102575753005 | (05) | PA |
238155 | LICENSE NUMBER (01) | NY |
MD 436772 | UNRESTRICTED MEDICAL LICENSE (01) | PA |