Healthcare Provider Details

I. General information

NPI: 1578659512
Provider Name (Legal Business Name): NORMAN DAVID TZOU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 04/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

849 QUINCE ORCHARD BLVD SUITE A
GAITHERSBURG MD
20878-1678
US

IV. Provider business mailing address

849 QUINCE ORCHARD BLVD SUITE A
GAITHERSBURG MD
20878-1678
US

V. Phone/Fax

Practice location:
  • Phone: 301-569-7246
  • Fax: 301-363-2295
Mailing address:
  • Phone: 301-569-7246
  • Fax: 301-363-2295

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0050880
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: