Individual
DR. BRIAN EDWARD RUSAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
33 ELECTRIC AVE, SUITE 103, FITCHBURG, MA 01420-7954
(978) 345-0001
(978) 345-6161
Mailing address
33 ELECTRIC AVE, SUITE 103, FITCHBURG, MA 01420-7954
(978) 345-0001
(978) 345-6161
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
19971
MA
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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