Jack Rusley, MD is an adolescent medicine pediatrics in Providence, RI. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. Jack Rusley, MD NPI is 1639499395. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1 HOPPIN ST STE 305
PROVIDENCE, RI
ZIP 02903-141
Phone: (401) 444-5980
Fax: (401) 444-3873
The NPI 1639499395 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/4/2010 and was last updated on 7/21/2022.