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Individual

DR. JOEL RUSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1960 NE 47TH ST STE 102, FORT LAUDERDALE, FL 33308
(954) 463-3200
(954) 463-3292
Mailing address
1960 NE 47TH ST STE 102, FORT LAUDERDALE, FL 33308-7708
(954) 463-3200
(954) 463-3292

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OS05228
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
379967100
FL
Enumeration date
10/13/2005
Last updated
07/06/2018
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