NPI 1124569710

Ryan Paul Balthaser, PA

Practitioner Physician Assistant Gardner, MA

Practice location

Address: 725 Timpany Blvd, Gardner, MA 01440-3453
Phone: (978) 632-8100

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA6065 (MA)

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Registry record

NPI: 1124569710
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Mar 2017
Record last updated: 15 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.