MEDICARE: DR. PERRY HOWARD ZAND MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	25MA02979100	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023196250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PERRY HOWARD ZAND MD

Provider Business Mailing Address
First Line	:	1005 CARDINAL LANE
Second Line	:
City	:	CHERRY HILL
State	:	NJ
Zip	:	08003-2944
Country	:	US
Telephone Number	:	856-429-4460
Fax Number	:	856-429-4212

Provider Business Practice Location Address
First Line	:	2201 CHAPEL AVENUE WEST
Second Line	:	SUITE 104
City	:	CHERRY HILL
State	:	NJ
Zip	:	08002-2048
Country	:	US
Telephone Number	:	856-662-1122
Fax Number	:	856-429-4212

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	12/29/2009

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