Individual
MR. RUBEN TRONCOSO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
1830 E MONUMENT ST, SUITE 6-100, BALTIMORE, MD 21287-0020
(410) 955-3380
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-1340
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
D86790
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D86790
MD LICENSE
MD
Enumeration date
02/06/2014
Last updated
09/14/2021
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