Individual
DR. EDUARDO RUEDA VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 COMMERCE PARK DR, SUITE 110, WILLIAMSPORT, PA 17701-5475
(570) 323-6944
(570) 323-4529
Mailing address
320 HIGHLAND DR, P.O. BOX 597, MOUNTVILLE, PA 17554-1232
(717) 285-7121
(717) 285-2658
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101048597
VA
2084P0800X
Psychiatry Physician
18868
GA
2084P0800X
Psychiatry Physician
223712
NY
2084P0800X
Psychiatry Physician
31332
FL
2084P0800X
Psychiatry Physician
Primary
MD438359
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028002940001
—
PA
Enumeration date
06/16/2006
Last updated
09/27/2013
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