Individual
DR. RAMI RUSTUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
280 MERRIMACK ST, SUITE 103, LAWRENCE, MA 01843-1779
(978) 685-2455
(978) 685-2459
Mailing address
280 MERRIMACK ST, SUITE 103, LAWRENCE, MA 01843-1779
(978) 685-2455
(978) 685-2459
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
213741
MA
208VP0014X
Interventional Pain Medicine Physician
Primary
213741
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000032259
HEALTHNET
—
01
—
003715
SR WHOLE HEALTH
—
01
—
0039262
NHP
—
01
—
1181899
AETNA
—
01
—
1881694180
BMC
—
01
—
1881694181
BMC
MA
05
—
2002299
—
MA
01
—
202705274
TRICARE
MA
01
—
202705274
UNICARE
—
01
—
203722881
UHC
—
01
—
213741
TUFTS
—
05
—
30204215
—
NH
01
—
6126042
CIGNA
MA
01
—
6126042
CIGNA
—
01
—
7165429
AETNA
MA
01
—
90110
FHP
—
01
—
97211603
NETWORK HEALTH
MA
01
—
97211605
NETWORKHEALTH
MA
01
—
AA48214
HPHC
MA
01
—
AA52428
HPHC
—
01
—
AA64187
HPHC
—
01
—
J25828
BCBS
MA
01
—
J25828
BCBS
—
Enumeration date
07/28/2005
Last updated
02/07/2017
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