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Evan Prusisz
NPI 1649156035 · on the registry since 2025
Practice
- Address
- 16301 Elliott Pkwy, Williamsport, Md 21795
Williamsport, MD 21795 - Phone
- (240) 313-3800
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland