Individual
DR. PREM P MITTAR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
VA.MEDICAL CENTER, CIRCLE DRIVE, PERRYPOINT, MD 21902
(410) 642-2411
(410) 642-1825
Mailing address
3202 GLOUCHESTER DR, FALLSTON, MD 21047-1245
(410) 642-2411
(410) 642-1825
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0043825
MD
Other
Enumeration date
04/14/2006
Last updated
07/08/2007
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