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Organization
GEBREYE W. RUFAEL, M.D, PA
Active
Organization
GEBREYE W. RUFAEL, M.D, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEBREYE W. RUFAEL M.D (OWNER)
(410) 992-4666
Entity
Organization
Contact information
Practice address
10840 LITTLE PATUXENT PKWY, 302, COLUMBIA, MD 21044-3115
(410) 992-4666
(410) 992-4766
Mailing address
10840 LITTLE PATUXENT PKWY, 302, COLUMBIA, MD 21044-3115
(410) 992-4666
(410) 992-4766
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
D17107
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-7251-GW-11
BLUE SHIELD/BLUE CROSS
MD
01
—
10101242
CIGNA
—
01
—
3300066
UNITED HEALTHCARE
—
01
—
4053583
AETNA
—
01
—
7680-0001
BLUE SHIELD/BLUE CROSS
DC
05
—
965171301
—
MD
Enumeration date
09/11/2008
Last updated
09/11/2008
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