Individual
RISA W HUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3290 N RIDGE RD, ELLICOTT CITY, MD 21043-3655
(410) 801-2273
Mailing address
3290 N RIDGE RD, ELLICOTT CITY, MD 21043-3655
(410) 801-2273
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0057136
MD
208000000X
Pediatrics Physician
D0057136
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016
CAREFIRST-DC
MD
05
—
680503500
—
MD
Enumeration date
03/24/2006
Last updated
01/30/2025
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