Individual
WALTER RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
606 STEPHEN SITTER AVE, SILVER SPRING, MD 20910-1290
(301) 295-5259
(301) 295-7184
Mailing address
PO BOX 64252, BALTIMORE, MD 21264-4252
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
D62132
MD
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
D62132
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171218700
—
MD
Enumeration date
07/06/2006
Last updated
03/17/2018
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