Rusinova, Marina

Rusinova, Marina is an individual health care provider with primary practice located at 133 Brookline Ave , Boston MA 02215-3904. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Rusinova, Marina can be contacted via phone (617) 421-1122.

Contact Information

Primary practice address
133 Brookline Ave Boston MA 02215-3904
Phone: (617) 421-1122
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 19132 Massachusetts

Profile Details

NPI number 1518936160
LBN Legal business name Rusinova, Marina
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Apr 8th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518936160 NPPES
Massachusetts Other HV0009 HARVARD PILGRIM
Massachusetts Other V05513 HARVARD PILGRIM

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