# AR MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780987610
- **Authorized official:** ALEXANDER RUSANOV M.D. (MEDICAL DIRECTOR/PRESIDENT)
- **Authorized official phone:** (732) 306-1724

## Contact information

- **Practice address:** 6100 WOODLAND AVE, PHILADELPHIA, PA 19142-3224
- **Practice address phone:** (732) 306-1724
- **Practice address fax:** (267) 535-2757
- **Mailing address:** 1212 VETERANS HWY, SUITE A-1 BOX 845, BRISTOL, PA 19007-2512
- **Mailing address phone:** (732) 306-1724
- **Mailing address fax:** (267) 535-2757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | MD436215 | PA | — |
| 207Q00000X | Family Medicine Physician | MD436215 | PA | Yes |

## Other

- **Enumeration date:** 12/15/2010
- **Last updated:** 12/15/2010