Individual
ANDREW J PRUSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
655 SHREWSBURY AVENUE, SHREWSBURY, NJ 07702
(732) 450-6000
(732) 450-1798
Mailing address
66 WEST GILBERT ST, RED BANK, NJ 07701
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NO10195400
NJ
Other
Enumeration date
12/13/2006
Last updated
03/28/2008
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