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Contact Information

STACY RUSTICO, MD
34520 BOB WILSON DRIVE NAVAL MEDICAL CENTER SAN DIEGO
SAN DIEGO, CA92134-0001
 Phone: 619-881-9165
 Fax: 619-532-9184
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Endocrinology

2080P0205X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for STACY RUSTICO · (Female)

NPI # 1942461512
Status Active
Credentials MD
Entity Individual
Enumeration date 06/17/2008
Last updated 08/09/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # A111715
Hospital affiliation(s) Not Available
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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