Individual
RAYCOR FADERUGAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
600 N WOLFE ST, OSLER 0-600, BALTIMORE, MD 21287-0005
(410) 955-5353
(410) 955-7363
Mailing address
600 N WOLFE ST, OSLER 0-600, BALTIMORE, MD 21287-0005
(410) 955-5353
(410) 955-7363
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R160569
MD
Other
Enumeration date
08/13/2015
Last updated
11/18/2015
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