Provider Demographics
NPI:1750621819
Name:RUSGO, ALLISON SARAH (MPH, PA-C)
Entity type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:SARAH
Last Name:RUSGO
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Gender:F
Credentials:MPH, PA-C
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Mailing Address - Street 1:559 WEST GERMANTOWN PIKE
Mailing Address - Street 2:EINSTEIN MEDICAL CENTER - MONTGOMERY; HOSPITALISTS C/O
Mailing Address - City:EAST NOIRITON
Mailing Address - State:PA
Mailing Address - Zip Code:19403
Mailing Address - Country:US
Mailing Address - Phone:484-622-4245
Mailing Address - Fax:484-622-2287
Practice Address - Street 1:1202 S CEDAR CREST BLVD
Practice Address - Street 2:SUITE 500
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6202
Practice Address - Country:US
Practice Address - Phone:610-770-2200
Practice Address - Fax:610-433-7622
Is Sole Proprietor?:No
Enumeration Date:2013-02-26
Last Update Date:2016-12-30
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Provider Licenses
StateLicense IDTaxonomies
PAMA056049363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical