Individual
DR. RICARDO ANTONIO BULALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 W PRESTON ST, BALTIMORE, MD 21201-2301
(410) 767-6713
Mailing address
3719 MARVEL DR, TRAPPE, MD 21673-1782
(410) 476-5717
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
D0025272
MD
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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