Healthcare Provider Details

I. General information

NPI: 1639142763
Provider Name (Legal Business Name): JULIUS DAVID ZANT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2006
Last Update Date: 04/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 SNOW HILL RD
SALISBURY MD
21804-6031
US

IV. Provider business mailing address

540 SNOW HILL RD
SALISBURY MD
21804-6031
US

V. Phone/Fax

Practice location:
  • Phone: 410-860-0084
  • Fax: 410-860-0411
Mailing address:
  • Phone: 410-860-0084
  • Fax: 410-860-0411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberD0019432
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: