Healthcare Provider Details

I. General information

NPI: 1467652826
Provider Name (Legal Business Name): SAMUEL ZYGLER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2007
Last Update Date: 12/07/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2524 FARRINGDON RD
BALTIMORE MD
21209-2543
US

IV. Provider business mailing address

2524 FARRINGDON RD
BALTIMORE MD
21209-2543
US

V. Phone/Fax

Practice location:
  • Phone: 410-484-8254
  • Fax: 410-484-4416
Mailing address:
  • Phone: 410-484-8254
  • Fax: 410-484-4416

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberD35606
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: