Provider Demographics
NPI:1215464540
Name:EID, RYAN (MD)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:
Last Name:EID
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:40 TREMONT ST STE 52
Mailing Address - Street 2:
Mailing Address - City:DUXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02332-5316
Mailing Address - Country:US
Mailing Address - Phone:781-934-6200
Mailing Address - Fax:781-934-9118
Practice Address - Street 1:40 TREMONT ST STE 52
Practice Address - Street 2:
Practice Address - City:DUXBURY
Practice Address - State:MA
Practice Address - Zip Code:02332-5316
Practice Address - Country:US
Practice Address - Phone:781-934-6200
Practice Address - Fax:781-934-9118
Is Sole Proprietor?:No
Enumeration Date:2017-05-17
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA281713207RA0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology