Individual
RUSLY HARSONO
Active
Individual
RUSLY HARSONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, FAAP
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
002881
NY
208000000X
Pediatrics Physician
A92797
CA
208000000X
Pediatrics Physician
MD426037
PA
2080P0203X
Pediatric Critical Care Medicine Physician
002881
NY
2080P0203X
Pediatric Critical Care Medicine Physician
43740
AZ
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
A92797
CA
2080P0203X
Pediatric Critical Care Medicine Physician
MD426037
PA
282NC2000X
Children's Hospital
43740
AZ
Other
Enumeration date
07/05/2007
Last updated
06/16/2015
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