Individual
RICHARD LOUIS BANCELLS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
A.T.,C.
Contact information
Practice address
ORIOLE PARK AT CAMDEN YARDS, 333 WEST CAMDEN ST., BALTIMORE, MD 21210
(410) 685-9800
Mailing address
21300 LENTZ RD, PARKTON, MD 21120-9130
(410) 357-8906
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AL 651
FL
Other
Enumeration date
02/10/2006
Last updated
07/08/2007
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