Provider Demographics
NPI:1841293826
Name:RIAL, JAMES ALBERTO (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ALBERTO
Last Name:RIAL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:31455 WINTERPLACE PKWY
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-1891
Mailing Address - Country:US
Mailing Address - Phone:443-523-4041
Mailing Address - Fax:410-742-4156
Practice Address - Street 1:31455 WINTERPLACE PKWY
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-1891
Practice Address - Country:US
Practice Address - Phone:410-742-4100
Practice Address - Fax:410-742-4156
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2018-03-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0061803207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1000032294Medicaid
MD405315000Medicaid
MD714MI598Medicare PIN
DE014738A33Medicare PIN