Doctor Name: | DR. PHILIP JOHN RUZBARSKY |
NPI Number: | 1225097058 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | D33599 |
Business Practice Address: | 125 Airport Dr Suite 34 Westminster, MD - 211573024 |
Business Phone Number: | 4108488882 |
Business Fax Number: | 4108488767 |
Mailing Address: | 125 Airport Dr, Suite 34 WESTMINSTER |
State: | MD |
Postal Code: | 211573024 |
Phone Number: | 4108488882 |
Fax Number: | 4108488768 |
NPI Enumeration Date: | 03/21/2006 |
NPI Last Update Date: | 04/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | D33599 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |