Healthcare Provider Details

I. General information

NPI: 1508816133
Provider Name (Legal Business Name): SCOTT VALENTINE ZAFT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 09/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9815 MAIN ST SUITE 208
DAMASCUS MD
20872-2002
US

IV. Provider business mailing address

9815 MAIN ST SUITE 208
DAMASCUS MD
20872-2002
US

V. Phone/Fax

Practice location:
  • Phone: 301-253-4004
  • Fax: 301-253-3391
Mailing address:
  • Phone: 301-253-4004
  • Fax: 301-253-3391

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD57174
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: