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Individual

DR. BERNARD HOWARD RAVITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2945
(443) 444-3926
(443) 444-4897
Mailing address
PO BOX 180, MARYLAND LINE, MD 21105-0180
(443) 829-3319
(443) 444-4897

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
D0036846
MD
207R00000X
Internal Medicine Physician
Primary
D0036846
MD
207RA0401X
Addiction Medicine (Internal Medicine) Physician
D0036846
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
067341200
MD
01
8666BH
BLUE CROSS BLUE SHIELD
MD
Enumeration date
08/08/2006
Last updated
03/21/2016
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