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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICHOLAS BRADLEY RUSZALA

Active

NICHOLAS BRADLEY RUSZALA is a Physician Assistant healthcare provider located in ROSEDALE, Maryland. NPI 1053148965 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · ROSEDALE, MD

Registration Details

NPI Number
1053148965
Provider Type
Individual
Gender
Male
NPI Issued
Sep 16, 2024 (1.725418348318 yrs)
Last Updated
Feb 9, 2026
License
C0009970 (MD)

Practice Information

Address
6830 HOSPITAL DR STE 206
ROSEDALE, MD, 212374377
Browse MD providers · Browse ZIP 21237
Phone
4102385390
Fax
4102385396
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in ROSEDALE, MD

Name Credential NPI
MRS. LINDA DIANE STARK PA-C 1366573578
ABIGAIL WOLKENBERG PA 1457927568
CHRISTIAN BROWN 1891654372
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.