Individual
DR. NELLIE T RUELOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1643 LIBERTY RD, STE. 204, ELDERSBURG, MD 21784-6544
(410) 552-9004
(410) 552-9003
Mailing address
1421 WOODRIDGE LN, ELDERSBURG, MD 21784-8338
(410) 552-9983
(410) 552-9984
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D30381
MD
2084P0804X
Child & Adolescent Psychiatry Physician
D30381
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
383631200
—
MD
Enumeration date
06/18/2006
Last updated
04/28/2013
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