Mezrich, Reuben S

Mezrich, Reuben S is an individual health care provider with primary practice located at 22 S Greene St Room N2E23, Baltimore MD 21201-1544. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Mezrich, Reuben S can be contacted via phone (410) 328-3477.

Contact Information

Primary practice address
22 S Greene St Room N2E23 Baltimore MD 21201-1544
Phone: (410) 328-3477
Fax: (410) 328-5656
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X D0059309 Maryland

Profile Details

NPI number 1306832480
LBN Legal business name Mezrich, Reuben S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Oct 9th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306832480 NPPES
District of Columbia Other 38110058 CAREFIRST BCBS
District of Columbia Other KC46SH CAREFIRST BCBS
District of Columbia MEDICAID 110800000 376500800 CAREFIRST BCBS

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