Healthcare Provider Details

I. General information

NPI: 1912273046
Provider Name (Legal Business Name): OLIVER ROYER ZUSES MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIAN FRANCES ROYER

II. Dates (important events)

Enumeration Date: 03/22/2012
Last Update Date: 07/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7106 RIDGE RD STE B
ROSEDALE MD
21237-3883
US

IV. Provider business mailing address

7106 RIDGE RD STE B
ROSEDALE MD
21237-3883
US

V. Phone/Fax

Practice location:
  • Phone: 106-872-3004
  • Fax: 844-304-5355
Mailing address:
  • Phone: 410-687-2300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0079915
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: