Organization
PREMIER CARDIOVASCULAR CARE LLC
Active
Organization
PREMIER CARDIOVASCULAR CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAIFUDIN A HUSSEIN M.D. (OWNER)
(301) 595-0356
Entity
Organization
Contact information
Practice address
10756 RHODE ISLAND AVE, BELTSVILLE, MD 20705-2513
(301) 595-0356
(301) 595-0359
Mailing address
2417 NICOL CIR, MITCHELLVILLE, MD 20721-2907
(240) 678-3751
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D0063586
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
416855100
—
MD
Enumeration date
08/11/2011
Last updated
08/11/2011
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