NPI 1295768851

Robert M. Ricketts, MD, PA

Organisation Specialist Westminster, MD

Practice location

Address: 910 Washington Rd Suite E, Westminster, MD 21157-5827
Phone: (410) 876-9111
Fax: (410) 857-3345

Authorised official

Name: Robert Mason Ricketts
Title: Physician
Phone: (410) 876-9111

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence D0039296 (MD)

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Registry record

NPI: 1295768851
Entity type: Organization
NPI issued: 8 Jul 2006
Record last updated: 20 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.