Healthcare Provider Details

I. General information

NPI: 1609311208
Provider Name (Legal Business Name): STEVEN ZEBRON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2017
Last Update Date: 01/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 MEDICAL PARKWAY
ANNAPOLIS MD
21401
US

IV. Provider business mailing address

2001 MEDICAL PARKWAY
ANNAPOLIS MD
21401
US

V. Phone/Fax

Practice location:
  • Phone: 443-481-1390
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number170360
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: