Brian Edward Rusak in Fitchburg - Periodontics
Brian Edward Rusak - NPI 1710024443
Brian Edward Rusak is a Periodontics in Fitchburg, Massachusetts. Brian Edward Rusak practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Brian Edward Rusak is 1710024443. The last update date is 2007-07-08.
Brian Edward Rusak's current location address is 33 Electric Ave, Fitchburg, Massachusetts. You can contact this provider via phone number 9783450001 and fax number 9783456161. The mailing address for Brian Edward Rusak is 33 Electric Ave, Fitchburg, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Edward Rusak |
|---|---|
| Address | 33 Electric Ave, Fitchburg, Massachusetts |
| Phone Number | 9783450001 |
| Fax Number | 9783456161 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1710024443 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 33 Electric Ave |
|---|---|
| City | Fitchburg |
| State | Massachusetts (MA) |
| Post Code | 14207954 |
| Phone Number | 9783450001 |
| Fax Number | 9783456161 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 19971 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the Brian Edward Rusak's unique identification number?
The Brian Edward Rusak has been assigned the NPI (National Provider Identifier) Number 1710024443 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Brian Edward Rusak located?
The Brian Edward Rusak is located at 33 Electric Ave, Fitchburg, MA 14207954.
What is Brian Edward Rusak's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brian Edward Rusak's area of specialization is Periodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223P0300X.
On what date did the Brian Edward Rusak receive its 1710024443 assignment from the Centers for Medicare & Medicaid Services?
The Brian Edward Rusak was assigned its 1710024443 by the Centers for Medicare & Medicaid Services on 2007-01-31.
When was the information pertaining to Brian Edward Rusak most recently updated or revised?
The details related to Brian Edward Rusak, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.