Organization
AR MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER RUSANOV M.D. (MEDICAL DIRECTOR/PRESIDENT)
(732) 306-1724
Entity
Organization
Contact information
Practice address
6100 WOODLAND AVE, PHILADELPHIA, PA 19142-3224
(732) 306-1724
(267) 535-2757
Mailing address
1212 VETERANS HWY, SUITE A-1 BOX 845, BRISTOL, PA 19007-2512
(732) 306-1724
(267) 535-2757
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD436215
PA
207Q00000X
Family Medicine Physician
Primary
MD436215
PA
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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