National Provider Identifier

Matthew Jared Rusk, DO

Matthew Jared Rusk, DO is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Buffalo, NY and a listed phone number of (716) 859-4234.

NPI 1912227133Buffalo, NYInternal Medicine Physician

Profile Overview

NPI
1912227133
Provider Type
Individual
Primary Specialty
Internal Medicine Physician
Enumeration Date
June 10, 2010
Last Updated
July 31, 2013

Practice Location

  • 100 High St
  • Buffalo, NY 14203-1126

Phone: (716) 859-4234

Mailing Address

  • 235 Berryman Dr
  • Snyder, NY 14226-4318

Specialties

  • Internal Medicine Physician (207R00000X)
Full Record
NPI
1912227133
Entity Type
Individual
Last Name
Rusk
First Name
Matthew
Middle Name
Jared
Name Prefix
Dr.
Credential
DO
Mailing Street Address
235 Berryman Dr
Mailing City
Snyder
Mailing State
NY
Mailing ZIP Code
14226-4318
Mailing Country
US
Mailing Phone
(716) 445-3002
Practice Street Address
100 High St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203-1126
Practice Country
US
Practice Phone
(716) 859-4234
Enumeration Date
June 10, 2010
Last Updated
July 31, 2013
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Internal Medicine Physician (207R00000X)