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NPI Code Detail

MEDICARE: DR. JEFFREY KENT ZIBELL MD

MEDICARE: DR. JEFFREY KENT ZIBELL 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
1207R00000XInternal Medicine PhysicianD37573MD

Other Identifiers

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

General Provider Information

NPI Number : 1275503997
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY KENT ZIBELL MD
Provider Business Mailing Address
First Line : 9715 HEALTHWAY DR
Second Line :
City : BERLIN
State : MD
Zip : 21811-3500
Country : US
Telephone Number : 443-548-5700
Fax Number : 443-548-5705
Provider Business Practice Location Address
First Line : 785 ELKRIDGE LANDING RD STE 300
Second Line :
City : LINTHICUM HEIGHTS
State : MD
Zip : 21090-2958
Country : US
Telephone Number : 443-323-3014
Fax Number : 855-212-5249
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2006
Last Update Date : 06/27/2024

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