Richard J Kolodrubetz, MD
Family Medicine in Ellicott City, MD. Individual provider (NPI-1).
NPI number1619083508
StatusActive
Last updated in NPPESSep 7, 2016
Details
- NPI
- 1619083508
- Entity type
- Individual (NPI-1)
- Name
- Richard J Kolodrubetz
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 22, 2006
- Last updated
- Sep 7, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | D0031575 | MD | Yes |
Practice location
9501 Old Annapolis RoadSuite 308
Ellicott City, MD 21042
Phone 301-621-6570 · Fax 301-621-6589
Mailing address
9501 Old Annapolis RoadSuite 308
Ellicott City, MD 21042
Phone 301-621-6570 · Fax 301-621-6589
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