SearchMassachusetts363A00000X

Ryan Van Dam, PA

NPI 1639616949 · on the registry since 2017

Practice

Address
3 Thistle Ln
Westford, MA 01886
Phone
(978) 302-8217

Additional practice sites

  • 718 91st Ave Ne, Lake Stevens, WA

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
Licence states on file
WA, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts