Individual
DR. JOHN RUSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 55TH ST, LUTHERAN MEDICAL CENTER-RADIOLOGY, BROOKLYN, NY 11220-2559
(718) 630-7400
(718) 630-3427
Mailing address
5800 3RD AVE, LUTHERAN MEDICAL CENTER MANAGED CARE DEPARTMENT, BROOKLYN, NY 11220-3702
(718) 630-7477
(718) 630-7437
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
140977
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00956923
—
NY
Enumeration date
07/01/2008
Last updated
07/01/2008
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