Individual
MS. MELISSA L RUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 LAKE AVE N, PEDIATRICS, WORCESTER, MA 01655-0002
(774) 442-2853
(774) 443-7042
Mailing address
PO BOX 415348, BOSTON, MA 02241-0001
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1700
MA
Other
Enumeration date
02/22/2006
Last updated
11/17/2014
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