Individual
DANIEL A WOLDE-RUFAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
827 LINDEN AVE, BALTIMORE, MD 21201-4606
(410) 225-8790
(410) 225-8910
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-8040
(443) 462-3514
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D47717
MD
208M00000X
Hospitalist Physician
Primary
D47717
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020661000
—
MD
05
—
037162200
—
DC
01
—
542811-03 & 04
BLUE CROSS/BLUE SHIELD
MD
Enumeration date
06/12/2006
Last updated
10/29/2019
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