Organization
PAUL J RUSCHAK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL J RUSCHAK MD (OWNER DERMATOLOGIST)
(724) 483-5507
Entity
Organization
Contact information
Practice address
100 STOOPS DR, SUITE 220, MONONGAHELA, PA 15063-3553
(724) 483-5507
(724) 483-0530
Mailing address
100 STOOPS DR, SUITE 220, MONONGAHELA, PA 15063-3553
(724) 483-5507
(724) 483-0530
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD017990E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070014620
PALMETTO GBA RAILROAD
PA
01
—
073226
HIGHMARK BLUE SHIELD
PA
01
—
097321
UNISON ADVANTAGE MEDICARE
PA
01
—
128758
HIGHMARK BS BC -INDIVID
PA
01
—
204486
UPMC HEALTH PLAN
PA
Enumeration date
01/19/2007
Last updated
06/05/2008
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