Individual
DR. TIMOTHY JOSEPH RUSIECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1176 MEMORIAL DRIVE, CHICOPEE, MA 01020-3960
(413) 593-5772
(413) 593-5199
Mailing address
1176 MEMORIAL DRIVE, CHICOPEE, MA 01020-3960
(413) 593-5772
(413) 593-5199
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17871
MA
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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