Individual
COLLEEN RITA RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
504 E RIDGEVILLE BLVD, MOUNT AIRY, MD 21771-5942
(240) 215-6310
Mailing address
400 W 7TH ST, FREDERICK, MD 21701-4506
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C06529
MD
Other
Enumeration date
07/31/2017
Last updated
07/25/2024
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