Organization
RUBEN REIDER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUBEN REIDER MD (PRESIDENT)
(410) 768-1380
Entity
Organization
Contact information
Practice address
201 MILFORD MILL RD, STE 105, BALTIMORE, MD 21208-5903
(410) 768-1380
Mailing address
7445 E FURNACE BRANCH RD, STE A, GLEN BURNIE, MD 21060-7243
(410) 768-1380
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D22609
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528100800
—
MD
Enumeration date
10/15/2007
Last updated
11/26/2007
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