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Individual

RUBEN J NAZARIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 MEMORIAL AVE, WESTMINSTER, MD 21157-5726
(410) 848-3000
Mailing address
12092 ANTLER CT, FAIRFAX, VA 22030-6167
(703) 989-1925

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101059012
VA
208000000X
Pediatrics Physician
Primary
D0072015
MD

Other

Enumeration date
11/08/2005
Last updated
02/24/2014
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