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

Ryan Donofrio-Ralls

Individual provider Physician Assistant · NPI 1790595601

Ryan Donofrio-Ralls is a Physician Assistant in Boston, Massachusetts. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

179 Longwood Ave
Boston, MA 02115-5804
Phone: (617) 732-2850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1790595601
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 13, 2025
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 12, 2025
Mailing address179 Longwood Ave, Boston, MA 02115-5804

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