Provider Demographics
NPI:1225097058
Name:RUZBARSKY, PHILIP JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:JOHN
Last Name:RUZBARSKY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:125 AIRPORT DR
Mailing Address - Street 2:SUITE 34
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-3024
Mailing Address - Country:US
Mailing Address - Phone:410-848-8882
Mailing Address - Fax:410-848-8768
Practice Address - Street 1:125 AIRPORT DR
Practice Address - Street 2:SUITE 34
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-3024
Practice Address - Country:US
Practice Address - Phone:410-848-8882
Practice Address - Fax:410-848-8767
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-21
Last Update Date:2011-04-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD33599208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDC0000786OtherROSS ZELESNICK