Individual
JEROME A RUSIN
Active
Individual
JEROME A RUSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35068542
OH
2085P0229X
Pediatric Radiology Physician
Primary
35068542
OH
2085R0202X
Diagnostic Radiology Physician
35068542
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0235061
—
OH
01
—
0820201
CGS - MEDICARE
OH
Enumeration date
06/05/2006
Last updated
08/18/2026
Update your record
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