Individual
DR. JOHN RICKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 MASON LORD DR, BALTIMORE, MD 21224-3057
(410) 550-0851
Mailing address
PO BOX 64250, BALTIMORE, MD 21264-4250
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D74522
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059587000
—
MD
Enumeration date
05/01/2008
Last updated
11/15/2012
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