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Individual
DR. AARON J PRUSSIN
Active
Individual
DR. AARON J PRUSSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
FP5290337
UT
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
0101051964
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006500111
VIRGINIA PREMIER
VA
05
—
006500111
—
VA
01
—
018759S56
MEDICARE INDIVIDUAL PTAN
VA
01
—
1000460
UNITED HEALTHCARE
VA
01
—
127380
SOUTHERN HEALTH
VA
01
—
140176
ANTHEM
VA
05
—
1609867266
—
VA
01
—
332829
MAMSI
VA
01
—
541982275
JOHN DEERE
VA
01
—
5860049
AETNA US HEALTHCARE
VA
01
—
6566060005
CIGNA
VA
01
—
A2283
MEDCOST
VA
01
—
C06556
MEDICARE GROUP PTAN
VA
01
—
C06637
MEDICARE GROUP #
VA
01
—
C09521
MEDICARE GROUP PTAN
VA
Enumeration date
11/02/2005
Last updated
11/12/2021
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