Provider Demographics
NPI:1932102654
Name:RIULI, EDWARD P (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:P
Last Name:RIULI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:180 THOMAS JOHNSON DRIVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-4552
Mailing Address - Country:US
Mailing Address - Phone:301-631-6877
Mailing Address - Fax:240-566-7820
Practice Address - Street 1:180 THOMAS JOHNSON DR
Practice Address - Street 2:STE 202
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4552
Practice Address - Country:US
Practice Address - Phone:301-631-6877
Practice Address - Fax:301-631-5211
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2022-09-07
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Provider Licenses
StateLicense IDTaxonomies
MDD0036649207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDB67137Medicare UPIN