Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207ND0900X | Dermatopathologist | MD441580 | PA |
NPI | 1467744615 |
---|---|
Provider Name | Dr. Erica C Rushing |
First Address | Addison, TX 75001-3676 |
Second Address | Newtown Square, PA 19073-2304 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2011 |
Last Update Date | 26/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5920802 | (05) | NC |