Individual
DR. ROBERT MASON RICKETTS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1011 BALTIMORE BLVD, SUITE E, WESTMINSTER, MD 21157-7055
(410) 469-5001
Mailing address
1011 BALTIMORE BLVD, WESTMINSTER, MD 21157-7055
(410) 469-5001
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0039296
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066921102
—
MD
Enumeration date
10/25/2007
Last updated
10/30/2015
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