Organization
GEBREYE W. RUFAEL, M.D, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEBREYE W. RUFAEL M.D (OWNER)
(410) 992-4666
Entity
Organization
Contact information
Practice address
10840 LITTLE PATUXENT PKWY, 302, COLUMBIA, MD 21044-3115
(410) 992-4666
(410) 992-4766
Mailing address
10840 LITTLE PATUXENT PKWY, 302, COLUMBIA, MD 21044-3115
(410) 992-4666
(410) 992-4766
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
D17107
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-7251-GW-11
BLUE SHIELD/BLUE CROSS
MD
01
—
10101242
CIGNA
—
01
—
3300066
UNITED HEALTHCARE
—
01
—
4053583
AETNA
—
01
—
7680-0001
BLUE SHIELD/BLUE CROSS
DC
05
—
965171301
—
MD
Enumeration date
09/11/2008
Last updated
09/11/2008
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