# MERRIMACK VALLEY PAIN MANAGEMENT PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MERRIMACK VALLEY PAIN MANAGEMENT PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1942667837
- **Legal business name:** MERRIMACK VALLEY PAIN MANAGEMENT PC
- **Authorized official:** RAMI RUSTUM MD. (DIRECTOR)
- **Authorized official phone:** (978) 685-2455

## Contact information

- **Practice address:** 280 MERRIMACK ST., SUITE 103, LAWRENCE, MA 01843
- **Practice address phone:** (978) 685-2455
- **Practice address fax:** (978) 685-2459
- **Mailing address:** 280 MERRIMACK ST., SUITE 103, LAWRENCE, MA 01843
- **Mailing address phone:** (978) 685-2455
- **Mailing address fax:** (978) 685-2959

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 213741 | MA | Yes |

## Other

- **Enumeration date:** 01/22/2016
- **Last updated:** 01/22/2016