Individual
DR. RONALD BRUCE REISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1734 MARYLAND AVE., BALTIMORE, MD 21201
(410) 467-6040
(443) 743-2866
Mailing address
1734 MARYLAND AVE., BALTIMORE, MD 21201
(410) 467-6040
(443) 743-2866
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
D55656
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100007100
—
MD
05
—
135700361
—
MD
01
—
609430-03 & 04
BLUE CROSS/BLUE SHIELD
MD
Enumeration date
05/27/2006
Last updated
11/04/2013
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