IndividualActive
Brian Rusak, D.M.D.
NPI 1710024443 · Periodontics · Fitchburg, MA
Provider details
- NPI number
- 1710024443
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 19971 (MA)
Specialties & taxonomies
Dental Providers
Practice location
33 Electric Ave
Suite 103
Fitchburg, MA 01420-7954
Phone: (978) 345-0001
Fax: (978) 345-6161
Approximate (ZIP-level) locationGet directions
Mailing address
33 Electric Ave
Fitchburg, MA 01420-7954
Registry dates
- Enumerated
- 2007-01-31
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.