Individual
RUTH M BROCATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6701 N CHARLES ST, SUITE 5105, BALTIMORE, MD 21204-6808
(443) 849-3594
Mailing address
PO BOX 418953, BOSTON, MA 02241-8953
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0045753
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263500300
—
MD
Enumeration date
11/20/2006
Last updated
09/01/2011
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