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Individual

ANTONIO SERRA RAVIDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1120 SAINT PAUL ST, GROUND LEVEL, BALTIMORE, MD 21202-2618
(410) 685-7790
(410) 685-5360
Mailing address
1120 SAINT PAUL ST, GROUND LEVEL, BALTIMORE, MD 21202-2618
(410) 685-7790
(410) 685-5360

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
DO028572
MD

Other

Enumeration date
12/28/2009
Last updated
12/28/2009
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