Ruben Reider Md Pa | |
201 Milford Mill Rd Ste 105 Baltimore MD 21208-5903 | |
(410) 768-1380 | |
Not Available |
Full Name | Ruben Reider Md Pa |
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Speciality | Internal Medicine |
Location | 201 Milford Mill Rd, Baltimore, Maryland |
Authorized Official Name and Position | Ruben Reider (PRESIDENT) |
Authorized Official Contact | 4107681380 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ruben Reider Md Pa 7445 E Furnace Branch Rd Ste A Glen Burnie MD 21060-7243 Ph: (410) 768-1380 | Ruben Reider Md Pa 201 Milford Mill Rd Ste 105 Baltimore MD 21208-5903 Ph: (410) 768-1380 |
NPI Number | 1891984936 |
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Provider Enumeration Date | 10/15/2007 |
Last Update Date | 11/26/2007 |
Medicare PECOS PAC ID | 5496706384 |
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Medicare Enrollment ID | O20050208000914 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891984936 | NPI | - | NPPES |
528100800 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D22609 (Maryland) | Primary |
Provider Name | Ruben Reider |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891890968 PECOS PAC ID: 3072681097 Enrollment ID: I20081003000649 |
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