Individual
DR. DENNIS M RUSTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.A.P.
Contact information
Practice address
20 ROCK POINTE LN, WARRENTON, VA 20186-2679
(540) 347-9900
(540) 349-0920
Mailing address
20 ROCK POINTE LN, WARRENTON, VA 20186-2679
(540) 347-9900
(540) 349-0920
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101054293
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010027438
—
VA
Enumeration date
02/22/2006
Last updated
04/04/2011
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