Rueda Vasquez, Eduardo

Rueda Vasquez, Eduardo is an individual health care provider with primary practice located at 1000 Commerce Park Dr Suite 110, Williamsport PA 17701-5475. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Rueda Vasquez, Eduardo can be contacted via phone (570) 323-6944.

Contact Information

Primary practice address
1000 Commerce Park Dr Suite 110 Williamsport PA 17701-5475
Phone: (570) 323-6944
Fax: (570) 323-4529
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD438359 Pennsylvania
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 18868 Georgia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101048597 Virginia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 223712 New York
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 31332 Florida

Profile Details

NPI number 1891730842
LBN Legal business name Rueda Vasquez, Eduardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Sep 27th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891730842 NPPES
Pennsylvania MEDICAID 1028002940001

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