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1013301381
LAERT RUSHA
NEWPORT, RI
NPI
1013301381
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208VP0000X Pain Medicine, Pain Medicine
(Licence: RI MD17009)
Enumeration Date
2015-03-25
Last Update Date
2020-05-08
Business Address
LAERT RUSHA M.D.
11 FRIENDSHIP ST
NEWPORT, RI 02840-2209
Phone number: 401-845-1190
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Mailing Address
LAERT RUSHA M.D.
117 ELLENFIELD ST STE 101
PROVIDENCE, RI 02905-4541
Phone number: 401-444-6779
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