Individual
DR. PATRICK AMADEUS RYSCAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-4613
(410) 328-1112
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-4613
(410) 328-1112
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
D72445
MD
2080P0208X
Pediatric Infectious Diseases Physician
D72445
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
550500300
—
MD
01
—
974690-01
CAREFIRST BC/BS
MD
01
—
S062-0438
CAREFIRST BC/BS - REGIONAL
MD
Enumeration date
07/31/2008
Last updated
07/17/2013
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