Individual provider · Type 1 NPI

Ryan David Boehm, MD

Student in an Organized Health Care Education/Training Program · New Haven, CT

NPI number 1992387419 Active

Practice location

20 York St
New Haven, CT 06510-3220

Call (203) 688-4242 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000X82378 (CT)

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 1992387419

Ryan David Boehm, MD's National Provider Identifier is 1992387419, issued on Apr 23, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New Haven, CT. The record was last updated on Jul 8, 2025.