Provider Demographics
NPI:1013141522
Name:MAZER, ADRIEN JEAN-HAROLD (MD)
Entity type:Individual
Prefix:DR
First Name:ADRIEN
Middle Name:JEAN-HAROLD
Last Name:MAZER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 WISCONSIN AVE NW
Mailing Address - Street 2:412
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-4504
Mailing Address - Country:US
Mailing Address - Phone:202-246-2387
Mailing Address - Fax:
Practice Address - Street 1:2500 WISCONSIN AVE NW
Practice Address - Street 2:412
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-4504
Practice Address - Country:US
Practice Address - Phone:202-246-2387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-12
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
DCMD039223207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program