Dr Paul Andrew Rusonis, MD | |
6021 University Blvd, Suite 390, Ellicott City, MD 21043-6077 | |
(410) 203-0607 | |
(410) 203-0677 |
Full Name | Dr Paul Andrew Rusonis |
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Gender | Male |
Speciality | Dermatology |
Location | 6021 University Blvd, Ellicott City, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1922077171 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | D0030058 (Maryland) | Primary |
Entity Name | Integrated Dermatology Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902327950 PECOS PAC ID: 2466728282 Enrollment ID: O20171024001029 |
Mailing Address | Practice Location Address |
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Dr Paul Andrew Rusonis, MD 6021 University Blvd, Suite 390, Ellicott City, MD 21043-6077 Ph: (410) 203-0607 | Dr Paul Andrew Rusonis, MD 6021 University Blvd, Suite 390, Ellicott City, MD 21043-6077 Ph: (410) 203-0607 |
Alina Gerasymova, PA-C Dermatology Medicare: Medicare Enrolled Practice Location: 4801 Dorsey Hall Dr Ste 140, Ellicott City, MD 21042 Phone: 410-992-4100 Fax: 410-992-4170 | |
Nicholas Girardi, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6021 University Blvd Ste 390, Ellicott City, MD 21043 Phone: 410-203-0607 | |
Anita Louise Henderson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11089 Resort Rd Ste 206, Ellicott City, MD 21042 Phone: 410-696-3605 Fax: 410-696-1387 | |
Dr. Frederick Norman Pearson Sr., M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 9055 Chevrolet Dr, Suite 204, Ellicott City, MD 21042 Phone: 410-465-1515 Fax: 410-465-1839 | |
Thuy Vi Nguyen, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4801 Dorsey Hall Dr Ste 140, Ellicott City, MD 21042 Phone: 410-992-4100 Fax: 410-992-4170 |