Ryan Paul Balthaser, PA Valid NPI
Individual provider · Physician Assistant · Gardner, MA
- NPI
- 1124569710
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- License number
- PA6065 (MA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2017-03-15
- Last updated
- 2017-03-15
Practice location
725 Timpany Blvd
Gardner, MA 01440-3453
(978) 632-8100