Healthcare Provider Details

I. General information

NPI: 1972813061
Provider Name (Legal Business Name): DR. SEAN ZHANG
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2010
Last Update Date: 10/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N WOLFE ST MEYER B1-193
BALTIMORE MD
21287-7093
US

IV. Provider business mailing address

600 N WOLFE ST MEYER B1-193
BALTIMORE MD
21287-7093
US

V. Phone/Fax

Practice location:
  • Phone: 410-955-5077
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZM0300X
TaxonomyMedical Microbiology Physician
License Number25551
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: