Individual
HOWARD RUSCETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 BRIDGE BARRIER RD STE 2, CAROLINA BEACH, NC 28428-3939
(910) 458-4101
(910) 458-5617
Mailing address
1300 BRIDGE BARRIER RD STE 2, CAROLINA BEACH, NC 28428-3939
(910) 458-4101
(910) 458-5617
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200001427
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080186041
RAILROAD MEDICARE
NC
01
—
13085
BCBS NC
NC
05
—
8913085
—
NC
Enumeration date
09/01/2006
Last updated
08/13/2014
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