Provider Demographics
NPI:1487608469
Name:RUSINEK, CHRISTOPHER STANLEY (MD)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:STANLEY
Last Name:RUSINEK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:105 SW CARY PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-5600
Mailing Address - Country:US
Mailing Address - Phone:919-467-4500
Mailing Address - Fax:919-460-9339
Practice Address - Street 1:105 SW CARY PKWY STE 200
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-5600
Practice Address - Country:US
Practice Address - Phone:919-467-4500
Practice Address - Fax:919-460-9339
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2014-03-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC200500246207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5903276Medicaid
NC5903276Medicaid
NCI54178Medicare UPIN