Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK RUSLEY, MD
ActiveJACK RUSLEY, MD is a Adolescent Medicine (Pediatrics) healthcare provider located in PROVIDENCE, Rhode Island. NPI 1639499395 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine (Pediatrics) · PROVIDENCE, RI
Registration Details
- NPI Number
- 1639499395
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 4, 2010 (16.221552236449 yrs)
- Last Updated
- Jul 21, 2022
- License
-
MD15912 (RI)
Practice Information
- Address
-
1 HOPPIN ST STE 305PROVIDENCE, RI, 029034141Browse RI providers · Browse ZIP 02903
- Phone
- 4014445980
- Fax
- 4014443873
- Primary Specialty
-
Adolescent Medicine (Pediatrics)
2080A0000X
Other Adolescent Medicine (Pediatrics) Providers in PROVIDENCE, RI
| Name | Credential | NPI |
|---|---|---|
| ROSALIND VAZ | MD | 1699720961 |
| DR. TRACEY HITCHEN MYATT | M.D. | 1225078744 |
| WILLIAM JOSEPH MOROCCO | M.D. | 1588607519 |
| DR. ABIGAIL ALCOCK DONALDSON | MD | 1427296300 |
| MAAYAN LEROY-MELAMED | — | 1942627997 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.