Healthcare Provider Details

I. General information

NPI: 1124089610
Provider Name (Legal Business Name): ZINDER ANESTHESIA ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2006
Last Update Date: 10/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1205 YORK RD STE 39D
LUTHERVILLE MD
21093
US

IV. Provider business mailing address

341 LEISTERS CHURCH RD
WESTMINSTER MD
21157
US

V. Phone/Fax

Practice location:
  • Phone: 410-825-6652
  • Fax: 410-825-6654
Mailing address:
  • Phone: 410-825-6652
  • Fax: 410-825-6654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberR045780
License Number StateMD

VIII. Authorized Official

Name: MR. HERBERT RALPH ZINDER
Title or Position: PRESIDENT
Credential: CRNA
Phone: 410-825-6652