Robert M. Ricketts, Md, PA

NPI #1295768851 in Westminster, Maryland

Provider Information

NPI Number: 1295768851
Entity Type: Organization
Organization Name: Robert M. Ricketts, Md, PA
Primary Specialty: Specialist
Enumeration Date: Jul 8, 2006
Last Updated: Apr 20, 2008

Practice Location

Address: 910 WASHINGTON RD
Address 2: SUITE E
City: Westminster
State: Maryland
ZIP Code: 21157-5827
Phone: (410) 876-9111

Authorized Official

Name: DR. ROBERT MASON RICKETTS JR., M.D.
Title: PHYSICIAN
Phone: (410) 876-9111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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