Doctor Name: | ALOK RUSTOGI |
NPI Number: | 1730116575 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 0101236706 |
Business Practice Address: | 46090 Lake Center Plz 201 Potomac Falls, VA - 201655876 |
Business Phone Number: | 7034890508 |
Business Fax Number: | |
Mailing Address: | 46090 Lake Center Plz, 201 POTOMAC FALLS |
State: | VA |
Postal Code: | 201655876 |
Phone Number: | 7034890508 |
Fax Number: | 7034681061 |
NPI Enumeration Date: | 06/27/2006 |
NPI Last Update Date: | 02/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RA0000X |
License Number: | 0101236706 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |