Healthcare Provider Details

I. General information

NPI: 1538336151
Provider Name (Legal Business Name): LOUISA ZIGLAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2008
Last Update Date: 08/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 THOMAS JOHNSON DR
FREDERICK MD
21702
US

IV. Provider business mailing address

2730 UNIVERSITY BLVD W STE 310
WHEATON MD
20902-1990
US

V. Phone/Fax

Practice location:
  • Phone: 301-942-7600
  • Fax: 301-942-3521
Mailing address:
  • Phone: 301-942-7600
  • Fax: 301-942-3521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number25MA09101400
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number246670
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberD80134
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: