Individual
DR. EDWARD GAYNOR RUPERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,P.A.
Contact information
Practice address
8000 KNOLLWOOD ST, BRANDYWINE, MD 20613-7656
(301) 372-1689
(301) 372-1689
Mailing address
8000 KNOLLWOOD ST, BRANDYWINE, MD 20613-7656
(301) 372-1689
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
D0021364
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3521
BCBSNCA
DC
01
—
7114
BCBS OF MD
MD
Enumeration date
04/06/2007
Last updated
09/11/2009
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