MEDICARE: DR. MARTIN STEVEN RUSINOWITZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	D0033584	MD

General Provider Information

NPI Number	:	1760577126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARTIN STEVEN RUSINOWITZ M.D.

Provider Business Mailing Address
First Line	:	10903 NEW HAMPSHIRE AVE
Second Line	:	BLDG. 22 RM.4345
City	:	SILVER SPRING
State	:	MD
Zip	:	20903-1058
Country	:	US
Telephone Number	:	301-796-0158
Fax Number	:	301-796-9842

Provider Business Practice Location Address
First Line	:	10903 NEW HAMPSHIRE AVE
Second Line	:	BLDG. 22 RM.4345
City	:	SILVER SPRING
State	:	MD
Zip	:	20903-1058
Country	:	US
Telephone Number	:	301-796-0158
Fax Number	:	301-796-9842

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	12/13/2012

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Directions to “ DR. MARTIN STEVEN RUSINOWITZ M.D.” Practice Location

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