Rudolph B. Rustin III, M.D.

Surgery Physician · Charlottesville, VA

Individual Active NPI

NPI number 1679548614

Practice location

1300 Jefferson Park Ave
4TH Floor
Charlottesville, VA 22903-3363
Phone
(434) 982-4411
Fax
(434) 924-2260

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NPI record

NPI
1679548614
Entity type
Individual (Type 1)
Enumeration date
February 22, 2006
Last updated
September 9, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X 0101258483 VA
Surgery Physician 208600000X 14302 SC
Colon & Rectal Surgery Physician 208C00000X 14302 SC

Mailing address

PO Box 9007
Charlottesville, VA 22906-9007

About Dr. Rustin

Rudolph B. Rustin III, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 1300 Jefferson Park Ave, 4TH Floor, Charlottesville, VA 22903-3363. The NPI number 1679548614 was assigned on February 22, 2006 and the record was last updated on September 9, 2016.

Dr. Rustin lists 3 licenses in the registry: #0101258483 (VA) for Surgery Physician; #14302 (SC) for Surgery Physician; #14302 (SC) for Colon & Rectal Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Rudolph B. Rustin III, M.D.?

The NPI number is 1679548614.

What is the phone number of Dr. Rustin?

The phone number listed for the practice location is (434) 982-4411.

Where is Dr. Rustin located?

1300 Jefferson Park Ave, 4TH Floor, Charlottesville, VA 22903-3363.

What is the taxonomy code for Dr. Rustin?

The primary taxonomy code is 208600000X – Surgery Physician; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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