Individual
GEORGE A RICAURTE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5501 HOPKINS BAYVIEW CIR, BALTIMORE, MD 21224-6821
(410) 550-5624
Mailing address
PO BOX 64227, BALTIMORE, MD 21264-4227
(410) 550-7095
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D36492
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284321800
—
MD
Enumeration date
06/02/2006
Last updated
11/21/2016
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