Individual provider · Type 1 NPI

Ryan Wade Pfenning, MD, MBA

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1649064700 Active

Practice location

800 Washington St
Boston, MA 02111-1552

Call (617) 636-5000 Map

Mailing address

254 Hurley St
Cambridge, MA 02141-2120

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X3019097 (MA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1649064700

Ryan Wade Pfenning, MD, MBA's National Provider Identifier is 1649064700, issued on Apr 5, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Apr 5, 2025.