Individual
NICHOLAS BRADLEY RUSZALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6830 HOSPITAL DR STE 206, ROSEDALE, MD 21237-4377
(410) 238-5390
(410) 238-5396
Mailing address
6830 HOSPITAL DR STE 206, ROSEDALE, MD 21237-4377
(410) 238-5390
(410) 238-5396
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0009970
MD
Other
Enumeration date
09/16/2024
Last updated
02/09/2026
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