Individual
DR. RUBEN F BALLESTEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7401 OSLER DR, STE 208, BALTIMORE, MD 21204-7622
(410) 823-3885
(410) 823-6888
Mailing address
7401 OSLER DR, STE 208, BALTIMORE, MD 21204-7622
(410) 823-3885
(410) 823-6888
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
D0015194
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30218001
CAREFIRST BLUE SHIELD
MD
01
—
520913207
CORP. TAX ID
MD
Enumeration date
06/28/2005
Last updated
03/19/2014
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