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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