DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: NICHOLAS BRADLEY RUSZALA

MEDICARE: NICHOLAS BRADLEY RUSZALA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantC0009970MD

General Provider Information

NPI Number : 1053148965
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS BRADLEY RUSZALA
Provider Business Mailing Address
First Line : 6830 HOSPITAL DR STE 206
Second Line :
City : ROSEDALE
State : MD
Zip : 21237-4377
Country : US
Telephone Number : 410-238-5390
Fax Number : 410-238-5396
Provider Business Practice Location Address
First Line : 6830 HOSPITAL DR STE 206
Second Line :
City : ROSEDALE
State : MD
Zip : 21237-4377
Country : US
Telephone Number : 410-238-5390
Fax Number : 410-238-5396
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2024
Last Update Date : 02/09/2026

Similar Medicare Providers

1598150674 — FAISAL SAEED M.D.
Practice Location Address:
6830 HOSPITAL DR STE 200
ROSEDALE, MD
21237-4377
Practice Phone: 410-686-1448
Practice Fax: 410-686-2810
1801329362 — MATEO JOSE BETANCOURT D.O.
Practice Location Address:
6830 HOSPITAL DR STE 206
ROSEDALE, MD
21237-4377
Practice Phone: 410-238-5390
Practice Fax:
1760919955 — DR. EVI ANGELA HOY CRNP - PEDIATRICS
Practice Location Address:
6830 HOSPITAL DR STE 206
ROSEDALE, MD
21237-4377
Practice Phone: 410-238-5390
Practice Fax:
1275194110 — PATRICIA LORENA ZEA
Practice Location Address:
6830 HOSPITAL DR STE 206
ROSEDALE, MD
21237-4377
Practice Phone: 410-238-5390
Practice Fax:
1679197321 — APRIL OATTS CRNP
Practice Location Address:
6830 HOSPITAL DR STE 206
ROSEDALE, MD
21237-4377
Practice Phone: 410-238-5390
Practice Fax:
1457927568 — ABIGAIL WOLKENBERG PA
Practice Location Address:
6830 HOSPITAL DR STE 206
ROSEDALE, MD
21237-4377
Practice Phone: 410-238-5390
Practice Fax:

Directions to “ NICHOLAS BRADLEY RUSZALA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.