Individual
DR. REUBEN S MEZRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 S GREENE ST, ROOM N2E23, BALTIMORE, MD 21201-1544
(410) 328-3477
(410) 328-5656
Mailing address
22 S GREENE ST, ROOM N2E23, BALTIMORE, MD 21201-1544
(410) 328-3477
(410) 328-5656
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D0059309
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110800000 376500800
—
MD
01
—
38110058
CAREFIRST BCBS
DC
01
—
KC46SH
CAREFIRST BCBS
MD
Enumeration date
09/23/2005
Last updated
10/09/2013
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