Individual
RIAN JASON DICKSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7580 BUCKINGHAM BLVD, SUITE 110, HANOVER, MD 21076-3181
(410) 760-9400
(410) 787-1911
Mailing address
10200 GRAND CENTRAL AVE STE 220, OWINGS MILLS, MD 21117-4366
(443) 738-2872
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D073974
MD
208800000X
Urology Physician
N5652
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310803100
—
MD
Enumeration date
03/06/2008
Last updated
05/27/2025
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