Individual
DR. PAUL ANDREW RUSONIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6021 UNIVERSITY BLVD, SUITE 390, ELLICOTT CITY, MD 21043-6077
(410) 203-0607
(410) 203-0677
Mailing address
6021 UNIVERSITY BLVD, SUITE 390, ELLICOTT CITY, MD 21043-6077
(410) 203-0607
(410) 203-0677
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D0030058
MD
Other
Enumeration date
03/17/2006
Last updated
10/24/2011
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