Provider Demographics
NPI:1821211533
Name:POPOVIC, NEVEN A (MD)
Entity Type:Individual
Prefix:DR
First Name:NEVEN
Middle Name:A
Last Name:POPOVIC
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:4103 WATERVIEW DR
Mailing Address - Street 2:
Mailing Address - City:EDGEWATER
Mailing Address - State:MD
Mailing Address - Zip Code:21037-4327
Mailing Address - Country:US
Mailing Address - Phone:301-461-8037
Mailing Address - Fax:410-798-4366
Practice Address - Street 1:4103 WATERVIEW DR
Practice Address - Street 2:
Practice Address - City:EDGEWATER
Practice Address - State:MD
Practice Address - Zip Code:21037-4327
Practice Address - Country:US
Practice Address - Phone:301-461-8037
Practice Address - Fax:410-798-4366
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0026267207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery