Doctor Name: | DR. EDWARD GAYNOR RUPERT |
NPI Number: | 1528180684 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D.,P.A. |
License Number: | D0021364 |
Business Practice Address: | 8000 Knollwood St Brandywine, MD - 206137656 |
Business Phone Number: | 3013721689 |
Business Fax Number: | 3013721689 |
Mailing Address: | 8000 Knollwood St, BRANDYWINE |
State: | MD |
Postal Code: | 206137656 |
Phone Number: | 3013721689 |
Fax Number: | |
NPI Enumeration Date: | 04/06/2007 |
NPI Last Update Date: | 09/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207PE0004X |
License Number: | D0021364 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | Emergency Medical Services |
Taxonomy Definition: | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |