Provider Demographics
NPI:1245391085
Name:PUSCHINSKY, RICHARD WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:WILLIAM
Last Name:PUSCHINSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:624 QUAKER LANE
Mailing Address - Street 2:STE C103
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262
Mailing Address - Country:US
Mailing Address - Phone:336-882-0220
Mailing Address - Fax:336-882-1201
Practice Address - Street 1:624 QUAKER LANE
Practice Address - Street 2:STE C103
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262
Practice Address - Country:US
Practice Address - Phone:336-882-0220
Practice Address - Fax:336-882-1207
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC9500428208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2211486AOtherPSC MEDICARE PROVIDER
NC8969535Medicaid
NC69535OtherBLUE CROSS
NC69535OtherBLUE CROSS
G05074Medicare UPIN