Basic Information
Provider Information
NPI: 1427360189
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZELMAN
FirstName: ERIC
MiddleName: ADAM
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7500 WOODMONT AVE
Address2: APT 806
City: BETHESDA
State: MD
PostalCode: 208145361
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1500 FOREST GLEN RD
Address2:  
City: SILVER SPRING
State: MD
PostalCode: 209101460
CountryCode: US
TelephoneNumber: 3017547000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/10/2010
LastUpdateDate: 06/02/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XD77197MDY Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000XR72618AZN Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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