Provider Demographics
NPI:1538485362
Name:PRUST, JULIETTE ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIETTE
Middle Name:ANNE
Last Name:PRUST
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:10750 COLUMBIA PIKE STE 700
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-4461
Mailing Address - Country:US
Mailing Address - Phone:804-517-9830
Mailing Address - Fax:301-681-2773
Practice Address - Street 1:10750 COLUMBIA PIKE STE 500
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-4463
Practice Address - Country:US
Practice Address - Phone:301-681-6772
Practice Address - Fax:301-681-2773
Is Sole Proprietor?:No
Enumeration Date:2010-04-19
Last Update Date:2024-01-17
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Provider Licenses
StateLicense IDTaxonomies
MDD007772207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology