Individual
DR. WILLIAM EDMUND PROMINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1610 FIELDING LEWIS WAY, MC LEAN, VA 22101-3246
(952) 595-1100
(612) 294-4903
Mailing address
6201 GREENLEIGH AVE, BALTIMORE, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101041171
VA
2085R0202X
Diagnostic Radiology Physician
Primary
MD045791
DC
Other
Enumeration date
02/15/2006
Last updated
05/11/2026
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