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Contact Information

LAERT RUSHA, MD
11 FRIENDSHIP ST
NEWPORT, RI02840-2209
 Phone: 401-845-1190
 Fax: 401-845-1073
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for LAERT RUSHA · (Male)

NPI # 1013301381
Status Active
Credentials MD
Entity Individual
Enumeration date 03/25/2015
Last updated 05/08/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • RI License # MD17009
Hospital affiliation(s)
  • MIRIAM HOSPITAL - (Acute Care)
    164 SUMMIT AVENUE
    PROVIDENCE, RI 02906
  • RHODE ISLAND HOSPITAL - (Acute Care)
    593 EDDY STREET
    PROVIDENCE, RI 02902
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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