Organization
MERRIMACK VALLEY PAIN MANAGEMENT ASSOCIATES, P.C.
Active
Organization
MERRIMACK VALLEY PAIN MANAGEMENT ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMI RUSTUM MD (PRESIDENT)
(978) 685-2455
Entity
Organization
Contact information
Practice address
280 MERRIMACK ST STE 103, LAWRENCE, MA 01843-1780
(978) 685-2455
(978) 685-2459
Mailing address
280 MERRIMACK ST STE 103, LAWRENCE, MA 01843-1780
(978) 685-2455
(978) 685-2459
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
213741
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881694180
BMC
MA
01
—
1962652990
TRICARE
MA
05
—
30217445
—
NH
01
—
614350100
TUFTS
MA
01
—
9111315
AETNA
MA
05
—
9744801
—
MA
01
—
AA132832
HEALTHCARE VALUE
MA
01
—
M19676
BC/BS
MA
Enumeration date
09/26/2008
Last updated
01/31/2018
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