Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ryan David Boehm, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1992387419

Ryan David Boehm, MD is a Student in an Organized Health Care Education/Training Program in New Haven, Connecticut. Licensed in Connecticut and Washington. Registered with an NPI since 2021.

Licensed in
CT, WA
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

20 York St
New Haven, CT 06510-3220
Phone: (203) 688-4242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 82378 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (WA)

Record details

NPI number1992387419
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 23, 2021
Last updated in NPPESJuly 8, 2025
Certification dateJuly 8, 2025
Mailing address20 York St, New Haven, CT 06510-3220

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