Provider Demographics
NPI:1225232374
Name:PRUSSIN, CALMAN PHILIP (MD)
Entity Type:Individual
Prefix:
First Name:CALMAN
Middle Name:PHILIP
Last Name:PRUSSIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:11608 DANVILLE DR
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3716
Mailing Address - Country:US
Mailing Address - Phone:301-770-2553
Mailing Address - Fax:
Practice Address - Street 1:9000 ROCKVILLE PIKE
Practice Address - Street 2:BUILDING 10, ROOM 11C207, NATIONAL INSTITUTES OF HEALTH
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-1881
Practice Address - Country:US
Practice Address - Phone:301-496-1306
Practice Address - Fax:301-496-1306
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MD917278207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology