Individual
DR. RONALD PRUSSICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6163 EXECUTIVE BLVD, N BETHESDA, MD 20852-3901
(301) 984-3000
(301) 984-3001
Mailing address
6163 EXECUTIVE BLVD, N BETHESDA, MD 20852-3901
(301) 984-3000
(301) 984-3001
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0041493
MD
Other
Enumeration date
11/29/2005
Last updated
09/23/2010
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