Healthcare Provider Details
I. General information
NPI: 1922397306
Provider Name (Legal Business Name): CHRISTINA ZEILBERGER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/06/2011
Last Update Date: 07/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1475 TANEY AVE STE 201
FREDERICK MD
21702-5126
US
IV. Provider business mailing address
1475 TANEY AVE STE 201
FREDERICK MD
21702-5126
US
V. Phone/Fax
- Phone: 301-662-1930
- Fax:
- Phone: 301-662-1930
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | D0077755 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: