Provider Demographics
NPI:1467744615
Name:RUSHING, ERICA C (MD)
Entity Type:Individual
Prefix:DR
First Name:ERICA
Middle Name:C
Last Name:RUSHING
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Gender:F
Credentials:MD
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Mailing Address - Street 1:14275 MIDWAY ROAD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-3676
Mailing Address - Country:US
Mailing Address - Phone:800-257-0117
Mailing Address - Fax:610-271-4245
Practice Address - Street 1:3805 WEST CHESTER PIKE
Practice Address - Street 2:BLDG D, SUITE 120
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073-2304
Practice Address - Country:US
Practice Address - Phone:800-257-0117
Practice Address - Fax:610-550-3079
Is Sole Proprietor?:No
Enumeration Date:2011-05-06
Last Update Date:2016-08-26
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Provider Licenses
StateLicense IDTaxonomies
PAMD441580207ND0900X
NC2012-00971207ZD0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
No207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5920802Medicaid
NC5920802Medicaid