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Contact Information

MLADEN PREMUZIC, MD
110 IRVING ST NW
WASHINGTON, DC20010-2976
 Phone: 301-946-5100
 Fax: 301-929-0348
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for MLADEN PREMUZIC · (Male)

NPI Number 1578589636
Status Active
Credentials MD
Entity Individual
Enumeration date 07/14/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • DC License # MD30003
  • VA Medicaid 5705011
  • DC Other 2495295 AETNA HMO
  • DC Other 5983731 AETNA NON HMO
  • DC Other 0094 CAREFIRST BCBS
  • DC Other 200138 KAISER
  • DC Other 501345 NCPPO
  • VA Other 441052 ANTHEM BCBS
Hospital affiliation(s)
  • MERCY MEDICAL CENTER INC - (Acute Care)
    301 SAINT PAUL PLACE
    BALTIMORE, MD 21202
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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